JUSTIN KOSIROG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066271

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Last Name

KOSIROG

Business Name

JUSTIN KOSIROG MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Emergency Medicine

Ever Disciplined

LastModifiedDate

05/31/2018