LUCENA C CRISOSTOMO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

LUCENA C

Last Name

CRISOSTOMO

Suffix

Business Name

LUCENA C CRISOSTOMO MD

Original Issue Date

01/01/1997

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023