JACQUELINE RAUSA DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****67

NOT RENEWED

N

DO

JACQUELINE

RAUSA

JACQUELINE RAUSA DO

07/13/2018

05/15/2020

07/31/2023

OAK LAWN

IL

60453

COOK

PRACTITIONER

II III IV V

N

11/30/2023