NASER RUSTOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

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

11/06/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020