SCOTT REID ROUSTIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087697

License Status

ACTIVE

Business

First Name

SCOTT REID

Last Name

ROUSTIO

Suffix

Business Name

SCOTT REID ROUSTIO MD

Original Issue Date

11/04/1993

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

04/06/2023