MONIB A H COLLESTAN MD - Medical Doctor License in Illinois | # 036043179

MONIB A H COLLESTAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043179

License Status

NOT RENEWED

Business

N

First Name

MONIB A H

Last Name

COLLESTAN

Suffix

MD

Business Name

MONIB A H COLLESTAN MD

Original Issue Date

12/10/1969

Effective Date

12/10/1969

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006