ROD A HUMERICKHOUSE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

ROD A

Last Name

HUMERICKHOUSE

Business Name

ROD A HUMERICKHOUSE

Original Issue Date

02/24/1997

Effective Date

02/24/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011