TREVOR R KUSTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

TREVOR

Middle

Last Name

KUSTON

Business Name

TREVOR R KUSTON MD

Original Issue Date

04/21/2016

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021