PATRICK T ROUGHNEEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

ROUGHNEEN

Suffix

Business Name

PATRICK T ROUGHNEEN MD

Original Issue Date

06/14/1996

Effective Date

06/14/1996

Expiration Date

07/31/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006