SCOTT REID ROUSTIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

SCOTT REID

Last Name

ROUSTIO

Suffix

Business Name

SCOTT REID ROUSTIO MD

Original Issue Date

12/14/1993

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MT VERNON

State

Zip

62864

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023