MARIA ISABEL L CRISOSTOMO Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

INOPERATIVE

Business

First Name

MARIA ISABEL L

Last Name

CRISOSTOMO

Business Name

MARIA ISABEL L CRISOSTOMO

Original Issue Date

03/25/1994

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

ROSELLE

State

Zip

60172

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023