KENNETH J COSTICH MD - Medical Corporation License in Illinois | # 042000145

KENNETH J COSTICH MD

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042000145

License Status

NOT RENEWED

Business

Y

Business Name

KENNETH J COSTICH MD

Original Issue Date

01/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006