RHODORA R SY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

RHODORA

Middle

Last Name

Suffix

Business Name

RHODORA R SY MD

Original Issue Date

03/26/1997

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

MANTENO

State

Zip

60950

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023