CARLOS R CRISOSTOMO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045187

License Status

NOT RENEWED

Business

First Name

CARLOS R

Last Name

CRISOSTOMO

Suffix

Business Name

CARLOS R CRISOSTOMO MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1996

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006