JON KENNETH KOSTELIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086948

License Status

NOT RENEWED

Business

First Name

JON KENNETH

Last Name

KOSTELIC

Suffix

Business Name

JON KENNETH KOSTELIC MD

Original Issue Date

07/24/1993

Effective Date

07/24/1993

Expiration Date

07/31/1996

City

LEXINGTON

State

Zip

40504

County

FAYETTE

Ever Disciplined

LastModifiedDate

01/29/2026