RODNEY D BURGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018644

License Status

NOT RENEWED

Business

First Name

RODNEY

Middle

Last Name

BURGE

Business Name

RODNEY D BURGE

Original Issue Date

07/25/1983

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2010

Case Number

2005020586

Action

Refuse To Renew

Discipline Start Date

11/08/2008

Discipline End Date

12/08/2010

Discipline Reason

Failure to file and/or pay Illinois state income taxes.