ROGER LAWRENCE GREENLAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051426

License Status

ACTIVE

Business

First Name

ROGER LAWRENCE

Last Name

GREENLAW

Suffix

Business Name

ROGER LAWRENCE GREENLAW MD

Original Issue Date

08/15/1975

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/20/2023