ANTHONY MICHAEL D'AGOSTINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

MICHAEL

Last Name

D'AGOSTINO

Suffix

Business Name

ANTHONY MICHAEL D'AGOSTINO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020