BO MARCUS GUSTAFSSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157249

License Status

ACTIVE

Business

Title

First Name

Middle

MARCUS

Last Name

GUSTAFSSON

Business Name

BO MARCUS GUSTAFSSON MD

Original Issue Date

06/04/2021

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

08/03/2023