EDGARDO RODRIGUEZ-COLLAZO DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****88

License Status

ACTIVE

Business

First Name

EDGARDO

Last Name

RODRIGUEZ-COLLAZO

Suffix

DPM

Business Name

EDGARDO RODRIGUEZ-COLLAZO DPM

Original Issue Date

09/03/1998

Effective Date

12/02/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025