MARIO RUSTIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062921

License Status

NOT RENEWED

Business

First Name

MARIO

Last Name

RUSTIA

Suffix

Business Name

MARIO RUSTIA MD

Original Issue Date

08/24/1981

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017