JOHN ANTHONY DUSTMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059486

License Status

ACTIVE

Business

First Name

JOHN ANTHONY

Last Name

DUSTMAN

Suffix

Business Name

JOHN ANTHONY DUSTMAN MD

Original Issue Date

09/18/1979

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/25/2023