RODNEY T MCCALLA 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

RODNEY

Middle

Last Name

MCCALLA

Business Name

RODNEY T MCCALLA

Original Issue Date

07/14/2003

Effective Date

07/14/2003

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008