JONATHAN MICHAEL RADOSTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048146

License Status

EXPIRED

Business

First Name

JONATHAN

Middle

MICHAEL

Last Name

RADOSTA

Suffix

Business Name

JONATHAN MICHAEL RADOSTA MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/07/2009