CARL JOSEPH GUSTAS SR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

CARL

Middle

JOSEPH

Last Name

GUSTAS

Suffix

SR DO

Business Name

CARL JOSEPH GUSTAS SR DO

Original Issue Date

12/09/2005

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023