JACQUELINE THEODORA RUSINAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133066

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

THEODORA

Last Name

RUSINAK

Suffix

Business Name

JACQUELINE THEODORA RUSINAK MD

Original Issue Date

05/23/2013

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2023