CHARISSA MARIE RUSTIA CARAG MD - Medical Doctor License in Illinois | # 036139977

CHARISSA MARIE RUSTIA CARAG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139977

License Status

NOT RENEWED

Business

N

Title

MD

First Name

CHARISSA

Middle

MARIE RUSTIA

Last Name

CARAG

Business Name

CHARISSA MARIE RUSTIA CARAG MD

Original Issue Date

03/09/2016

Effective Date

04/13/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021