WYLIE ROLAND ROGERS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043288

License Status

CANCELLED

Business

First Name

WYLIE

Middle

ROLAND

Last Name

ROGERS

Suffix

Business Name

WYLIE ROLAND ROGERS MD

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

06/27/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006