M KIM RODINE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

CANCELLED

Business

First Name

M KIM

Last Name

RODINE

Suffix

Business Name

M KIM RODINE MD

Original Issue Date

10/19/1981

Effective Date

10/19/1981

Expiration Date

07/31/2005

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006

Case Number

1996004670

Action

Probation

Discipline Start Date

08/19/1998

Discipline End Date

06/19/2002

Discipline Reason

License restored to indefinite probation.