JORGE A OSTOLAZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

JORGE A

Last Name

OSTOLAZA

Suffix

Business Name

JORGE A OSTOLAZA MD

Original Issue Date

10/24/1989

Effective Date

10/24/1989

Expiration Date

07/31/2005

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006