LUCENA C CRISOSTOMO MD - Medical Doctor License in Illinois | # 036054193

LUCENA C CRISOSTOMO MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054193

License Status

ACTIVE

Business

N

First Name

LUCENA C

Last Name

CRISOSTOMO

Suffix

MD

Business Name

LUCENA C CRISOSTOMO MD

Original Issue Date

03/11/1977

Effective Date

06/27/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

06/27/2023