COREY ALAN ROGERS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002011

License Status

INACTIVE

Business

First Name

COREY

Middle

ALAN

Last Name

ROGERS

Business Name

COREY ALAN ROGERS

Original Issue Date

05/23/2003

Effective Date

05/23/2003

Expiration Date

03/01/2006

City

PARK CITY

State

Zip

67219

County

KANSAS

Ever Disciplined

LastModifiedDate

10/09/2006