DOUGLAS WILLIAM RUSNACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111148

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

WILLIAM

Last Name

RUSNACK

Suffix

Business Name

DOUGLAS WILLIAM RUSNACK MD

Original Issue Date

04/05/2004

Effective Date

07/17/2014

Expiration Date

07/31/2017

City

MANHATTAN BEACH

State

Zip

90266

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/31/2019