LISA GUSTAFSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079920

License Status

ACTIVE

Business

Title

First Name

LISA

Last Name

GUSTAFSON

Business Name

LISA GUSTAFSON MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2026

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/20/2025