ROUBA G GHOUSSOUB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

ROUBA

Middle

Last Name

GHOUSSOUB

Suffix

Business Name

ROUBA G GHOUSSOUB MD

Original Issue Date

09/23/2015

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023