NESTOR M SHUST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024725

License Status

EXPIRED

Business

First Name

NESTOR M

Last Name

SHUST

Suffix

Business Name

NESTOR M SHUST MD

Original Issue Date

05/05/1990

Effective Date

05/05/1990

Expiration Date

06/30/1993

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006