RODNEY D FIELDS 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

First Name

RODNEY D

Last Name

FIELDS

Suffix

Business Name

RODNEY D FIELDS MD

Original Issue Date

06/23/1997

Effective Date

06/23/1997

Expiration Date

07/31/2005

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006