ANTHONY JOHN ROUSOU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

JOHN

Last Name

ROUSOU

Suffix

Business Name

ANTHONY JOHN ROUSOU MD

Original Issue Date

05/26/2009

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017