NASER RUSTOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

NASER

Last Name

RUSTOM

Business Name

NASER RUSTOM MD

Original Issue Date

11/06/2001

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021