KARIN M GUSTAFSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021952

License Status

EXPIRED

Business

First Name

KARIN

Middle

Last Name

GUSTAFSON

Suffix

Business Name

KARIN M GUSTAFSON DO

Original Issue Date

05/05/1988

Effective Date

05/05/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006