IRENE E ROGE DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004849

License Status

INACTIVE

Business

First Name

IRENE

Middle

Last Name

ROGE

Suffix

DPM

Business Name

IRENE E ROGE DPM

Original Issue Date

10/08/1997

Effective Date

11/25/2008

Expiration Date

01/31/2011

City

GREENWOOD

State

Zip

46143

County

INDIANA

Ever Disciplined

LastModifiedDate

11/03/2010