DANIEL ROBERT RODGERS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

CANCELLED

Business

First Name

DANIEL

Middle

ROBERT

Last Name

RODGERS

Suffix

Business Name

DANIEL ROBERT RODGERS MD

Original Issue Date

09/11/2000

Effective Date

09/11/2000

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008