ANDREA MARY RUSTAD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082661

License Status

EXPIRED

Business

Title

First Name

ANDREA

Middle

MARY

Last Name

RUSTAD

Business Name

ANDREA MARY RUSTAD MD

Original Issue Date

06/25/2023

Effective Date

06/25/2023

Expiration Date

06/24/2024

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024