ANN MARIE RUST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151809

License Status

NOT RENEWED

Business

Title

First Name

ANN

Middle

MARIE

Last Name

RUST

Business Name

ANN MARIE RUST MD

Original Issue Date

02/11/2020

Effective Date

02/11/2020

Expiration Date

09/30/2020

City

GOLDENDALE

State

Zip

98620

Ever Disciplined

LastModifiedDate

01/14/2021