STRUTHA C ROUSE II Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110657

License Status

INACTIVE

Business

First Name

STRUTHA

Middle

Last Name

ROUSE II

Business Name

STRUTHA C ROUSE II

Original Issue Date

01/06/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHARLOTTE

State

Zip

28214

Ever Disciplined

LastModifiedDate

07/14/2008