PAUL RICHARD CRISOSTOMO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

PAUL

Middle

RICHARD

Last Name

CRISOSTOMO

Business Name

PAUL RICHARD CRISOSTOMO MD

Original Issue Date

06/05/2013

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023