LOREN RENEE ROUSTIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174018

License Status

ACTIVE

Business

Title

First Name

LOREN

Middle

RENEE

Last Name

ROUSTIO

Business Name

LOREN RENEE ROUSTIO MD

Original Issue Date

03/04/2025

Effective Date

03/04/2025

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2025