ALEX KOSTIV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055509

License Status

CANCELLED

Business

Title

First Name

ALEX

Last Name

KOSTIV

Business Name

ALEX KOSTIV MD

Original Issue Date

07/08/2008

Effective Date

07/08/2008

Expiration Date

07/07/2011

City

VERNON HILLS

State

Zip

60061

County

LAKE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2008