LOLITA M CRISOSTOMO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017868

License Status

EXPIRED

Business

First Name

LOLITA M

Last Name

CRISOSTOMO

Suffix

Business Name

LOLITA M CRISOSTOMO MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006