MARIO RUSTIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

MARIO

Last Name

RUSTIA

Suffix

Business Name

MARIO RUSTIA MD

Original Issue Date

09/21/1981

Effective Date

07/16/2008

Expiration Date

07/31/2011

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017