ANNA GHENNADIEVNA GUSHCHIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139472

License Status

NOT RENEWED

Business

Title

First Name

ANNA

Middle

GHENNADIEVNA

Last Name

GUSHCHIN

Business Name

ANNA GHENNADIEVNA GUSHCHIN MD

Original Issue Date

12/09/2015

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021