DOROTHEA JEAN MOSTELLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

DOROTHEA

Middle

JEAN

Last Name

MOSTELLO

Suffix

Business Name

DOROTHEA JEAN MOSTELLO MD

Original Issue Date

12/23/1998

Effective Date

12/23/1998

Expiration Date

07/31/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020