DMITRY SHUSTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058211

License Status

EXPIRED

Business

Title

First Name

DMITRY

Last Name

SHUSTER

Business Name

DMITRY SHUSTER MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

SPRINGFIELD

State

Zip

62703

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013