SARA JUDITH KOSTANT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

CANCELLED

Business

First Name

SARA

Middle

JUDITH

Last Name

KOSTANT

Suffix

Business Name

SARA JUDITH KOSTANT MD

Original Issue Date

04/20/2009

Effective Date

04/20/2009

Expiration Date

07/31/2011

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011