RODERICK HENRY SALACH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

RODERICK HENRY

Last Name

SALACH

Business Name

RODERICK HENRY SALACH

Original Issue Date

05/08/1992

Effective Date

05/08/1992

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006