DONNA J LODGE DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038008541

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

LODGE

Suffix

Business Name

DONNA J LODGE DC

Original Issue Date

08/04/1998

Effective Date

06/09/2011

Expiration Date

07/31/2014

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Ever Disciplined

LastModifiedDate

11/17/2014