PAUL GUSTIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

PAUL

Last Name

GUSTIN

Business Name

PAUL GUSTIN DO

Original Issue Date

01/18/2023

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023