MARCUS D SHOUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

MARCUS D

Last Name

SHOUSE

Suffix

Business Name

MARCUS D SHOUSE MD

Original Issue Date

07/17/1987

Effective Date

07/17/1987

Expiration Date

07/31/1993

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006