RODERICK H BIRNIE 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

RODERICK H

Last Name

BIRNIE

Suffix

Business Name

RODERICK H BIRNIE MD

Original Issue Date

06/16/1992

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021