LOUIS E DEROUCHEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020702

License Status

EXPIRED

Business

First Name

LOUIS E

Last Name

DEROUCHEY

Suffix

Business Name

LOUIS E DEROUCHEY MD

Original Issue Date

05/05/1987

Effective Date

05/05/1987

Expiration Date

07/01/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006