RODERICK DAVID EKMARK MD 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

Title

First Name

RODERICK

Middle

DAVID

Last Name

EKMARK

Business Name

RODERICK DAVID EKMARK MD

Original Issue Date

10/21/2009

Effective Date

08/17/2012

Expiration Date

07/31/2014

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020