TIMOTHY J RUSTHOVEN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

Title

DPM

First Name

TIMOTHY

Middle

Last Name

RUSTHOVEN

Business Name

TIMOTHY J RUSTHOVEN DPM

Original Issue Date

10/24/1985

Effective Date

12/21/2016

Expiration Date

01/31/2019

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019