JORGE A OSTOLAZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

JORGE A

Last Name

OSTOLAZA

Suffix

Business Name

JORGE A OSTOLAZA MD

Original Issue Date

06/29/1994

Effective Date

06/29/1994

Expiration Date

07/31/1996

City

HANOVER PARK

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006