RODNEY D BURGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

RODNEY

Middle

Last Name

BURGE

Business Name

RODNEY D BURGE

Original Issue Date

08/19/1983

Effective Date

08/19/1983

Expiration Date

09/30/2006

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006