DAVID N OSTROM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000107

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

OSTROM

Business Name

DAVID N OSTROM

Original Issue Date

08/09/1988

Effective Date

08/09/1988

Expiration Date

02/27/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006