JOHN MARK KOSTREY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

JOHN MARK

Last Name

KOSTREY

Suffix

Business Name

JOHN MARK KOSTREY MD

Original Issue Date

01/01/1997

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020