JOSEPH P DUSSEAU Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

CANCELLED

Business

First Name

JOSEPH

Middle

Last Name

DUSSEAU

Business Name

JOSEPH P DUSSEAU

Original Issue Date

03/13/2003

Effective Date

03/13/2003

Expiration Date

07/31/2005

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006