JOHN T SCHOUSBOE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****62

NOT RENEWED

N

JOHN

T

SCHOUSBOE

MD

JOHN T SCHOUSBOE MD

06/26/1985

06/26/1985

07/31/1987

CHICAGO

IL

60611

COOK

II III

N

09/26/2006