ELLEN B RODMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093238

License Status

ACTIVE

Business

Title

First Name

ELLEN

Middle

Last Name

RODMAN

Business Name

ELLEN B RODMAN DO

Original Issue Date

06/19/1996

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

GULF BREEZE

State

Zip

32561

County

COOK

Ever Disciplined

LastModifiedDate

04/22/2023