BRIAN MICHAEL KOSTUK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

BRIAN

Middle

MICHAEL

Last Name

KOSTUK

Suffix

Business Name

BRIAN MICHAEL KOSTUK DO

Original Issue Date

06/18/2009

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023