ANTONELLA LOSTUMBO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

ANTONELLA

Last Name

LOSTUMBO

Business Name

ANTONELLA LOSTUMBO MD

Original Issue Date

07/05/2011

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023