JACQUELINE THEODORA RUSINAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058790

License Status

CANCELLED

Business

First Name

JACQUELINE

Middle

THEODORA

Last Name

RUSINAK

Suffix

Business Name

JACQUELINE THEODORA RUSINAK MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/08/2010