ROD A HUMERICKHOUSE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094360

License Status

NOT RENEWED

Business

First Name

ROD A

Last Name

HUMERICKHOUSE

Business Name

ROD A HUMERICKHOUSE

Original Issue Date

10/13/1996

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014