SCOTT REID ROUSTIO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026139

License Status

EXPIRED

Business

First Name

SCOTT REID

Last Name

ROUSTIO

Suffix

Business Name

SCOTT REID ROUSTIO MD

Original Issue Date

04/12/1991

Effective Date

04/12/1991

Expiration Date

06/30/1994

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006