CARL JOSEPH GUSTAS SR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112922

License Status

ACTIVE

Business

First Name

CARL

Middle

JOSEPH

Last Name

GUSTAS

Suffix

SR DO

Business Name

CARL JOSEPH GUSTAS SR DO

Original Issue Date

01/18/2005

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023