CARRIE ANNE ROG - Physician Assistant License in Ohio | # 085001508

CARRIE ANNE ROG

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001508

License Status

NOT RENEWED

Business

N

First Name

CARRIE

Middle

ANNE

Last Name

ROG

Business Name

CARRIE ANNE ROG

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/01/2002

State

OH

Ever Disciplined

N

LastModifiedDate

10/09/2006