SUSAN K ROGERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

ROGERS

Business Name

SUSAN K ROGERS

Original Issue Date

03/23/2001

Effective Date

03/23/2001

Expiration Date

03/01/2008

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/05/2009