TIMOTHY J RUSTHOVEN DPM - Podiatrist License in Illinois | # 016003921

TIMOTHY J RUSTHOVEN DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003921

License Status

NOT RENEWED

Business

N

Title

DPM

First Name

TIMOTHY

Middle

J

Last Name

RUSTHOVEN

Business Name

TIMOTHY J RUSTHOVEN DPM

Original Issue Date

10/01/1985

Effective Date

12/21/2016

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019