MARCELLE A MOSTERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

MARCELLE A

Last Name

MOSTERT

Suffix

Business Name

MARCELLE A MOSTERT MD

Original Issue Date

06/13/1984

Effective Date

06/13/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60680

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006