RODNEY T MCCALLA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038504

License Status

EXPIRED

Business

First Name

RODNEY

Middle

Last Name

MCCALLA

Business Name

RODNEY T MCCALLA

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2003

City

PEORIA

State

Zip

61607

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006