MARK A D'AGOSTINO - Medical Doctor License in Illinois | # 125023463

MARK A D'AGOSTINO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023463

License Status

EXPIRED

Business

N

First Name

MARK

Middle

A

Last Name

D'AGOSTINO

Business Name

MARK A D'AGOSTINO

Original Issue Date

05/02/1989

Effective Date

05/02/1989

Expiration Date

06/19/1994

State

IL

Specialty/Qualifier

Otolaryngology

Ever Disciplined

N

LastModifiedDate

09/22/2006