SAMUEL DE LEON RODA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

SAMUEL DE LEON

Last Name

RODA

Suffix

Business Name

SAMUEL DE LEON RODA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006