JONATHAN STEWART ROUWHORST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062119

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

STEWART

Last Name

ROUWHORST

Business Name

JONATHAN STEWART ROUWHORST MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/04/2015