MARK A D'AGOSTINO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023463

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

D'AGOSTINO

Business Name

MARK A D'AGOSTINO

Original Issue Date

05/02/1989

Effective Date

05/02/1989

Expiration Date

06/19/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006