JOANNE G ROUSSEAU DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054192

License Status

CANCELLED

Business

Title

First Name

JOANNE

Middle

Last Name

ROUSSEAU

Business Name

JOANNE G ROUSSEAU DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/13/2011