SAMUEL DE LEON RODA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059984

License Status

NOT RENEWED

Business

First Name

SAMUEL DE LEON

Last Name

RODA

Suffix

Business Name

SAMUEL DE LEON RODA MD

Original Issue Date

01/11/1980

Effective Date

01/11/1980

Expiration Date

07/31/1984

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006