ANTONIO M CRISOSTOMO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078592

License Status

NOT RENEWED

Business

First Name

ANTONIO M

Last Name

CRISOSTOMO

Suffix

Business Name

ANTONIO M CRISOSTOMO MD

Original Issue Date

03/21/1989

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017