JONATHAN DUANE ROUSE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005724

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

DUANE

Last Name

ROUSE

Business Name

JONATHAN DUANE ROUSE

Original Issue Date

06/20/2016

Effective Date

11/19/2018

Expiration Date

01/31/2021

City

LAKE VILLA

State

Zip

60046

County

NEW YORK

Ever Disciplined

LastModifiedDate

03/11/2021