ELLEN JO GUSTAFSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109139

License Status

ACTIVE

Business

First Name

ELLEN

Middle

Last Name

GUSTAFSON

Suffix

Business Name

ELLEN JO GUSTAFSON MD

Original Issue Date

04/30/2003

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2023

Case Number

2012006354

Action

Reprimand

Discipline Start Date

03/03/2014

Discipline Reason

following allegations that she engaged in unprofessional conduct by improperly providing care and treatment for a patient.