JACQUELINE THEODORA RUSINAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

THEODORA

Last Name

RUSINAK

Suffix

Business Name

JACQUELINE THEODORA RUSINAK MD

Original Issue Date

07/17/2013

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023