ROD A HUMERICKHOUSE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031310

License Status

EXPIRED

Business

First Name

ROD A

Last Name

HUMERICKHOUSE

Business Name

ROD A HUMERICKHOUSE

Original Issue Date

05/20/1994

Effective Date

05/20/1994

Expiration Date

06/23/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Hematology & Oncology

Ever Disciplined

LastModifiedDate

09/22/2006