ELLEN B RODMAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030906

License Status

EXPIRED

Business

Title

First Name

ELLEN

Middle

Last Name

RODMAN

Business Name

ELLEN B RODMAN DO

Original Issue Date

04/30/1994

Effective Date

04/30/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006