ALEX KOSTIV MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****78

ACTIVE

N

MD

ALEX

KOSTIV

ALEX KOSTIV MD

01/14/2011

07/13/2023

07/31/2026

VERNON HILLS

IL

60061

COOK

PRACTITIONER

II III IV V

N

07/13/2023