RICHARD PAUL DESRUISSEAU MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113570

License Status

INACTIVE

Business

First Name

RICHARD

Middle

PAUL

Last Name

DESRUISSEAU

Suffix

Business Name

RICHARD PAUL DESRUISSEAU MD

Original Issue Date

04/26/2005

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/01/2016