RODERICK VALENZEULA DIZON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044868

License Status

EXPIRED

Business

First Name

RODERICK

Middle

VALENZEULA

Last Name

DIZON

Suffix

Business Name

RODERICK VALENZEULA DIZON MD

Original Issue Date

06/25/2002

Effective Date

06/25/2002

Expiration Date

06/24/2003

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006