DWAIN MONTRAVILLE ROGERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125438

License Status

NOT RENEWED

Business

Title

First Name

DWAIN

Middle

MONTRAVILLE

Last Name

ROGERS

Business Name

DWAIN MONTRAVILLE ROGERS MD

Original Issue Date

04/07/2010

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

11/17/2014