NATALIE KOSTINSKY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

NATALIE

Last Name

KOSTINSKY

Business Name

NATALIE KOSTINSKY

Original Issue Date

07/23/1996

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023