COREY ALAN ROGERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

NOT RENEWED

Business

First Name

COREY

Middle

ALAN

Last Name

ROGERS

Business Name

COREY ALAN ROGERS

Original Issue Date

06/26/2003

Effective Date

06/26/2003

Expiration Date

03/01/2006

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/26/2006