ANNE MACKENZIE LYONS RUSTEMEYER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057508

License Status

EXPIRED

Business

Title

First Name

ANNE MACKENZIE

Middle

LYONS

Last Name

RUSTEMEYER

Business Name

ANNE MACKENZIE LYONS RUSTEMEYER DO

Original Issue Date

06/14/2010

Effective Date

06/14/2010

Expiration Date

06/13/2011

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

07/19/2011