DALE A ROUCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073327

License Status

NOT RENEWED

Business

First Name

DALE A

Last Name

ROUCH

Suffix

Business Name

DALE A ROUCH MD

Original Issue Date

07/30/1986

Effective Date

07/30/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006