KRISTINE CATHERINE RUSTAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150196

License Status

NOT RENEWED

Business

Title

First Name

KRISTINE

Middle

CATHERINE

Last Name

RUSTAD

Business Name

KRISTINE CATHERINE RUSTAD MD

Original Issue Date

07/12/2019

Effective Date

07/12/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021