BLAKE CONLEY RODGERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

BLAKE

Middle

CONLEY

Last Name

RODGERS

Suffix

Business Name

BLAKE CONLEY RODGERS MD

Original Issue Date

03/25/2009

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023