KELSEY ROSE HEROUX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

KELSEY

Middle

ROSE

Last Name

HEROUX

Business Name

KELSEY ROSE HEROUX MD

Original Issue Date

09/27/2021

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

PALOS PARK

State

Zip

60464

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023