ANDREW THOMAS ROUDEBUSH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135207

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

THOMAS

Last Name

ROUDEBUSH

Business Name

ANDREW THOMAS ROUDEBUSH DO

Original Issue Date

05/01/2014

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

11/30/2023