CHRIS C KROUSE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

CHRIS C

Last Name

KROUSE

Business Name

CHRIS C KROUSE

Original Issue Date

07/22/2003

Effective Date

07/22/2003

Expiration Date

07/31/2008

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008