DARRELL D RUST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

DARRELL D

Last Name

RUST

Suffix

Business Name

DARRELL D RUST MD

Original Issue Date

06/28/1990

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023