RHODY D EISENSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

RHODY D

Last Name

EISENSTEIN

Suffix

Business Name

RHODY D EISENSTEIN MD

Original Issue Date

01/05/1993

Effective Date

01/05/1993

Expiration Date

07/31/2005

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006