WYLIE ROLAND ROGERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

WYLIE

Middle

ROLAND

Last Name

ROGERS

Suffix

Business Name

WYLIE ROLAND ROGERS MD

Original Issue Date

12/02/2022

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023