ANDREW THOMAS ROUDEBUSH DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****50

NOT RENEWED

N

DO

ANDREW

THOMAS

ROUDEBUSH

ANDREW THOMAS ROUDEBUSH DO

05/01/2014

09/28/2020

07/31/2023

CANTON

IL

61520

FULTON

PRACTITIONER

II III IV V

N

11/30/2023