MONIB A H COLLESTAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043179

License Status

NOT RENEWED

Business

First Name

MONIB A H

Last Name

COLLESTAN

Suffix

Business Name

MONIB A H COLLESTAN MD

Original Issue Date

12/10/1969

Effective Date

12/10/1969

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006