License Directory

Jorge E Kostianovsky Md

Expired

Illinois 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

More from the license record

Current term began
07/31/1972

Contact

Clayton St. Louis, MO 63105
Missouri County