WAYNE V RODEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

WAYNE V

Last Name

RODEN

Business Name

WAYNE V RODEN

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

WILLOWBROOK

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006