JAY T ROHDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

JAY

Middle

Last Name

ROHDE

Business Name

JAY T ROHDE MD

Original Issue Date

08/07/2014

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

WASHINGTON

State

Zip

61571

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023