SCOTT REID ROUSTIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

SCOTT REID

Last Name

ROUSTIO

Suffix

Business Name

SCOTT REID ROUSTIO MD

Original Issue Date

08/01/2012

Effective Date

08/01/2012

Expiration Date

07/31/2014

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020