KEITH ALLEN ROGERS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073147

License Status

EXPIRED

Business

Title

First Name

KEITH

Middle

ALLEN

Last Name

ROGERS

Business Name

KEITH ALLEN ROGERS MD

Original Issue Date

06/20/2018

Effective Date

06/20/2018

Expiration Date

06/19/2020

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020