GUY J AGOSTINO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020164

License Status

EXPIRED

Business

First Name

GUY J

Last Name

AGOSTINO

Suffix

Business Name

GUY J AGOSTINO MD

Original Issue Date

07/23/1986

Effective Date

07/23/1986

Expiration Date

06/30/1989

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006