JOHN MARK KOSTREY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041532

License Status

NOT RENEWED

Business

First Name

JOHN MARK

Last Name

KOSTREY

Suffix

Business Name

JOHN MARK KOSTREY MD

Original Issue Date

11/17/1967

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

01/14/2021