NICHOLAS J ROGERS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161219

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

Last Name

ROGERS

Business Name

NICHOLAS J ROGERS DO

Original Issue Date

07/06/2022

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

04/22/2023