DAVID M GUSTIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026842

License Status

EXPIRED

Business

First Name

DAVID M

Last Name

GUSTIN

Business Name

DAVID M GUSTIN

Original Issue Date

05/22/1991

Effective Date

05/22/1991

Expiration Date

06/24/1994

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006