DOROTHEA JEAN MOSTELLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

DOROTHEA

Middle

JEAN

Last Name

MOSTELLO

Suffix

Business Name

DOROTHEA JEAN MOSTELLO MD

Original Issue Date

02/02/2000

Effective Date

02/02/2000

Expiration Date

07/31/2005

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020