DAVID ALFRED RODENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059819

License Status

ACTIVE

Business

First Name

DAVID

Middle

ALFRED

Last Name

RODENBERG

Suffix

Business Name

DAVID ALFRED RODENBERG MD

Original Issue Date

12/14/1979

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/11/2023