BERNARD R ROGERS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

CANCELLED

Business

First Name

BERNARD R

Last Name

ROGERS

Suffix

Business Name

BERNARD R ROGERS MD

Original Issue Date

08/12/2003

Effective Date

08/12/2003

Expiration Date

07/31/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006