HAROLD RICHARD KOSTOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037840

License Status

NOT RENEWED

Business

First Name

HAROLD RICHARD

Last Name

KOSTOFF

Suffix

Business Name

HAROLD RICHARD KOSTOFF MD

Original Issue Date

07/02/1962

Effective Date

07/02/1962

City

PORT HURON

State

Zip

48060

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006