RICHARD BANJASTI CHUSAK MD - Medical Doctor License in Illinois | # 036086074

RICHARD BANJASTI CHUSAK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086074

License Status

NOT RENEWED

Business

N

First Name

RICHARD BANJASTI

Last Name

CHUSAK

Suffix

MD

Business Name

RICHARD BANJASTI CHUSAK MD

Original Issue Date

05/17/1993

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

11/06/2008