CYNTHIA JUKOFF GUSTAFSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062137

License Status

NOT RENEWED

Business

First Name

CYNTHIA JUKOFF

Last Name

GUSTAFSON

Suffix

Business Name

CYNTHIA JUKOFF GUSTAFSON MD

Original Issue Date

05/13/1981

Effective Date

05/13/1981

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006