MATTHEW THOMAS GUST MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069582

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

THOMAS

Last Name

GUST

Business Name

MATTHEW THOMAS GUST MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/29/2019