PATRICK LOUIS-JACQUES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

CANCELLED

Business

First Name

PATRICK

Last Name

LOUIS-JACQUES

Suffix

Business Name

PATRICK LOUIS-JACQUES MD

Original Issue Date

08/01/2001

Effective Date

08/01/2001

Expiration Date

07/31/2005

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006