David Bradford Rodenberg

Name

David Bradford Rodenberg

Year of birth

1957

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

David Bradford Rodenberg

Privacy Request

Additional Information

General: IND- LIC HC SERV PRO

Specialty: DENTIST

Address: 1435 PALMER CREEK DRIVE

City: COLUMBIA

State: IL

Zip code: 62236

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 2014-12-18


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