JORGE E KOSTIANOVSKY MD - Medical Doctor License in Missouri | # 036045955

JORGE E KOSTIANOVSKY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045955

License Status

NOT RENEWED

Business

N

First Name

JORGE E

Last Name

KOSTIANOVSKY

Suffix

MD

Business Name

JORGE E KOSTIANOVSKY MD

Original Issue Date

07/31/1972

Effective Date

07/31/1972

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006