ROGGIE PETER REASON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062454

License Status

EXPIRED

Business

Title

First Name

ROGGIE

Middle

PETER

Last Name

REASON

Business Name

ROGGIE PETER REASON MD

Original Issue Date

07/17/2012

Effective Date

07/17/2012

Expiration Date

07/16/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015