LOREN RENEE ROUSTIO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077718

License Status

CANCELLED

Business

Title

First Name

LOREN

Middle

RENEE

Last Name

ROUSTIO

Business Name

LOREN RENEE ROUSTIO MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/04/2025