REGINA ELIZABETH RODMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057143

License Status

EXPIRED

Business

First Name

REGINA

Middle

ELIZABETH

Last Name

RODMAN

Business Name

REGINA ELIZABETH RODMAN

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/29/2012