GUY J AGOSTINO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

GUY J

Last Name

AGOSTINO

Suffix

Business Name

GUY J AGOSTINO MD

Original Issue Date

08/31/1987

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LAGRANGE IL

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023