CHARITA LEQUISSE ROQUE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000794

License Status

EXPIRED

Business

Title

First Name

CHARITA

Middle

LEQUISSE

Last Name

ROQUE

Business Name

CHARITA LEQUISSE ROQUE MD

Original Issue Date

10/01/2018

Effective Date

10/01/2018

Expiration Date

03/31/2019

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

07/18/2019