THEODORE RODOLFO HARROLD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

ACTIVE

Business

First Name

THEODORE

Middle

RODOLFO

Last Name

HARROLD

Business Name

THEODORE RODOLFO HARROLD

Original Issue Date

05/10/2021

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026