ALYCIA L RODGERS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

ALYCIA

Middle

Last Name

RODGERS

Business Name

ALYCIA L RODGERS

Original Issue Date

12/16/1996

Effective Date

12/16/1996

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006