KYLE JOHN ROUX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082039

License Status

ACTIVE

Business

Title

First Name

KYLE

Middle

JOHN

Last Name

ROUX

Business Name

KYLE JOHN ROUX MD

Original Issue Date

06/23/2023

Effective Date

06/23/2023

Expiration Date

06/22/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/30/2023