JONATHAN DUANE ROUSE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****87

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

01/11/2017

Expiration Date

01/31/2019

City

LAKE VILLA

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019