RODERICK FULTON HUME JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105116

License Status

NOT RENEWED

Business

First Name

RODERICK

Middle

FULTON

Last Name

HUME

Suffix

JR MD

Business Name

RODERICK FULTON HUME JR MD

Original Issue Date

07/06/2001

Effective Date

07/06/2001

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006