J JERRY RODOS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065839

License Status

NOT RENEWED

Business

First Name

J JERRY

Last Name

RODOS

Suffix

Business Name

J JERRY RODOS DO

Original Issue Date

12/22/1982

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2015001802

Action

Reprimand

Discipline Start Date

08/12/2015

Discipline Reason

after his application as MAP provider was denied by Illinois Department of Healthcare and Family Services.