CHARISSA MARIE RUSTIA CARAG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139977

License Status

NOT RENEWED

Business

Title

First Name

CHARISSA

Middle

MARIE RUSTIA

Last Name

CARAG

Business Name

CHARISSA MARIE RUSTIA CARAG MD

Original Issue Date

03/09/2016

Effective Date

04/13/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021