JILL K KOSTICK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105127

License Status

INACTIVE

Business

Title

First Name

JILL

Middle

Last Name

KOSTICK

Business Name

JILL K KOSTICK MD

Original Issue Date

07/06/2001

Effective Date

07/06/2001

Expiration Date

07/31/2002

City

EVANSVILLE

State

Zip

47725

Ever Disciplined

LastModifiedDate

09/16/2008