RYAN JOSEPH RODELA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

Title

DPM

First Name

RYAN

Middle

JOSEPH

Last Name

RODELA

Business Name

RYAN JOSEPH RODELA DPM

Original Issue Date

08/10/2019

Effective Date

08/10/2019

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021