DAVID JOHN RUSINAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051056

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

JOHN

Last Name

RUSINAK

Business Name

DAVID JOHN RUSINAK MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/26/2007