JAY T ROHDE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058079

License Status

CANCELLED

Business

Title

First Name

JAY

Middle

Last Name

ROHDE

Business Name

JAY T ROHDE MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014