SUSAN DEBOICE RODGERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003202

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

DEBOICE

Last Name

RODGERS

Business Name

SUSAN DEBOICE RODGERS

Original Issue Date

03/11/2008

Effective Date

02/25/2020

Expiration Date

03/01/2022

City

SHELBYVILLE

State

Zip

40065

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022