LORENA AUGUSTA OSTILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165002

License Status

ACTIVE

Business

Title

First Name

LORENA

Middle

AUGUSTA

Last Name

OSTILLA

Business Name

LORENA AUGUSTA OSTILLA MD

Original Issue Date

06/05/2023

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/03/2023