THOMAS SEAN ROUKIS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

SEAN

Last Name

ROUKIS

Suffix

DPM

Business Name

THOMAS SEAN ROUKIS DPM

Original Issue Date

07/07/2000

Effective Date

07/07/2000

Expiration Date

01/31/2007

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007