RYAN JOSEPH RODELA DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000995

License Status

CANCELLED

Business

Title

DPM

First Name

RYAN

Middle

JOSEPH

Last Name

RODELA

Business Name

RYAN JOSEPH RODELA DPM

Original Issue Date

06/06/2018

Effective Date

06/15/2018

Expiration Date

06/15/2021

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/30/2018