MICHAEL J LUSTICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059863

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

LUSTICK

Suffix

Business Name

MICHAEL J LUSTICK MD

Original Issue Date

12/18/1979

Effective Date

12/18/1979

Expiration Date

07/01/1982

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006