ANDREW A GUSTAFSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164504

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

Last Name

GUSTAFSON

Business Name

ANDREW A GUSTAFSON MD

Original Issue Date

04/24/2023

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2023