STACY KOSTIUK Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****67

License Status

NOT RENEWED

Business

First Name

STACY

Last Name

KOSTIUK

Business Name

STACY KOSTIUK

Original Issue Date

10/19/2021

Effective Date

10/19/2021

Expiration Date

01/31/2023

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/31/2023