EVANNA ROSE LEROUGE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077942

License Status

CANCELLED

Business

Title

First Name

EVANNA

Middle

ROSE

Last Name

LEROUGE

Business Name

EVANNA ROSE LEROUGE MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/29/2021