CAREY HENRY COSTANTINI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012767

License Status

EXPIRED

Business

First Name

CAREY HENRY

Last Name

COSTANTINI

Business Name

CAREY HENRY COSTANTINI

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006