ANTONIO M CRISOSTOMO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021297

License Status

EXPIRED

Business

First Name

ANTONIO M

Last Name

CRISOSTOMO

Suffix

Business Name

ANTONIO M CRISOSTOMO MD

Original Issue Date

06/13/1987

Effective Date

06/13/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006