LAYNE ANDREW ROUSSEAU DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047843

License Status

CANCELLED

Business

First Name

LAYNE

Middle

ANDREW

Last Name

ROUSSEAU

Suffix

Business Name

LAYNE ANDREW ROUSSEAU DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

PHOENIX

State

Zip

85008

Specialty/Qualifier

Urological Surgery

Ever Disciplined

LastModifiedDate

04/19/2007