LEE STUART RUSAKOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096164

License Status

NOT RENEWED

Business

First Name

LEE STUART

Last Name

RUSAKOW

Suffix

Business Name

LEE STUART RUSAKOW MD

Original Issue Date

07/24/1997

Effective Date

07/24/1997

Expiration Date

07/31/2002

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006