SHEILA BALLINTINE GUSSAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140499

License Status

ACTIVE

Business

Title

First Name

SHEILA

Middle

BALLINTINE

Last Name

GUSSAK

Business Name

SHEILA BALLINTINE GUSSAK MD

Original Issue Date

04/27/2016

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

04/24/2023