ERIC ANDREW GUSTAFSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148416

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

ANDREW

Last Name

GUSTAFSON

Business Name

ERIC ANDREW GUSTAFSON MD

Original Issue Date

03/01/2019

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

ADDISON

State

Zip

75001

Ever Disciplined

LastModifiedDate

05/18/2023