HANI RUSTOM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166807

License Status

ACTIVE

Business

Title

First Name

HANI

Last Name

RUSTOM

Business Name

HANI RUSTOM DO

Original Issue Date

08/30/2023

Effective Date

08/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2025