DEIRDRE SALLY RODERICKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069738

License Status

EXPIRED

Business

Title

First Name

DEIRDRE

Middle

SALLY

Last Name

RODERICKS

Business Name

DEIRDRE SALLY RODERICKS MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

11/19/2020