ROSS D RODIG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

ROSS D

Last Name

RODIG

Suffix

DDS

Business Name

ROSS D RODIG DDS

Original Issue Date

03/26/1990

Effective Date

03/26/1990

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005