JONATHAN MICHAEL RADOSTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

MICHAEL

Last Name

RADOSTA

Suffix

Business Name

JONATHAN MICHAEL RADOSTA MD

Original Issue Date

06/20/2007

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023