License Search: Details

Name	Title	Specialty	Certified	Primary Practice Location	Licensed Or Has Been Licensed In
Kerry Cleon Rodgers	MD	General Surgery Vascular Surgery Thoracic Surgery	Verify Specialty Certification	Magnolia Surgery Pc 1118 Hwy 96, Suite 1 Kathleen, GA (Other)	NY, OH

License History

License Type	License Number	Status	License Date	Expiration Date
PMD	23837	Expired	09/14/2009	06/30/2013
DRD	3393	Expired	03/29/2010	06/30/2013

Education History

School	Date Completed	Nature of Training
Wayne State University School Of Medicine	06/10/2003	Medical or Podiatric School
Mary Imogene Bassett Hospital, Cooperstown	6/26/2008	Post-Graduate Training
Cleveland Clinic Hospital, Cleveland	6/30/2009	Post-Graduate Training

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Admin. Fine/Monetary Penalty & Another Action	10/10/2012	Consent Order

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 4/17/2026.