DOUGLAS ANTHONY KRUSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

ANTHONY

Last Name

KRUSE

Suffix

Business Name

DOUGLAS ANTHONY KRUSE MD

Original Issue Date

07/29/1998

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

LEMONT

State

Zip

60439

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023