MARK G RODDY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108291

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

RODDY

Business Name

MARK G RODDY

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006