RICHARD PAUL DESRUISSEAU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

PAUL

Last Name

DESRUISSEAU

Suffix

Business Name

RICHARD PAUL DESRUISSEAU MD

Original Issue Date

05/11/2005

Effective Date

05/11/2005

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011