LOREN RENEE ROUSTIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

LOREN

Middle

RENEE

Last Name

ROUSTIO

Business Name

LOREN RENEE ROUSTIO MD

Original Issue Date

03/04/2025

Effective Date

03/04/2025

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2025