JEAN W ROUSSEAU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060088

License Status

NOT RENEWED

Business

First Name

JEAN W

Last Name

ROUSSEAU

Suffix

Business Name

JEAN W ROUSSEAU MD

Original Issue Date

02/29/1980

Effective Date

02/29/1980

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006