FRANK ROSARIO GUASTELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

FRANK

Middle

ROSARIO

Last Name

GUASTELLA

Suffix

Business Name

FRANK ROSARIO GUASTELLA MD

Original Issue Date

01/01/1997

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017