OREST I KOSTELYNA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

CANCELLED

Business

First Name

OREST I

Last Name

KOSTELYNA

Suffix

Business Name

OREST I KOSTELYNA MD

Original Issue Date

05/16/1988

Effective Date

05/16/1988

Expiration Date

07/31/1990

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006