MARIA P CHRISOSTOMO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027236

License Status

EXPIRED

Business

First Name

MARIA P

Last Name

CHRISOSTOMO

Business Name

MARIA P CHRISOSTOMO

Original Issue Date

06/21/1991

Effective Date

06/21/1991

Expiration Date

06/22/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006