JASON LYNN COUCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

JASON

Middle

LYNN

Last Name

COUCH

Suffix

Business Name

JASON LYNN COUCH MD

Original Issue Date

07/11/2002

Effective Date

07/11/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006