IRENE E ROGE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

IRENE

Middle

Last Name

ROGE

Suffix

DPM

Business Name

IRENE E ROGE DPM

Original Issue Date

11/21/1997

Effective Date

11/21/1997

Expiration Date

01/31/2007

City

ROUND LAKE

State

Zip

60073

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007