Jorge E Kostianovsky Md
ExpiredIllinois license 036045955
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036045955
- Status
- Expired (Not Renewed)
- First issued
- July 31, 1972
- License holder
- Jorge E Kostianovsky Md
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 07/31/1972
Contact
Clayton St. Louis, MO 63105
Missouri County