EUGENE STEVEN KOSTIUK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

CANCELLED

Business

First Name

EUGENE STEVEN

Last Name

KOSTIUK

Suffix

Business Name

EUGENE STEVEN KOSTIUK MD

Original Issue Date

06/02/1986

Effective Date

05/19/2008

Expiration Date

07/31/2011

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017