SANDRA K KOSTYK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017818

License Status

EXPIRED

Business

First Name

SANDRA

Middle

Last Name

KOSTYK

Business Name

SANDRA K KOSTYK

Original Issue Date

05/03/1985

Effective Date

05/03/1985

Expiration Date

06/25/1988

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006