SUSAN K ROGERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001543

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

ROGERS

Business Name

SUSAN K ROGERS

Original Issue Date

01/08/2001

Effective Date

01/08/2001

Expiration Date

03/01/2008

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/05/2009