P R COSTA MD SC - Medical Corporation License in Illinois | # 042004710

P R COSTA MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004710

License Status

NOT RENEWED

Business

Y

Business Name

P R COSTA MD SC

Original Issue Date

08/14/1981

Effective Date

08/14/1981

Expiration Date

01/01/1985

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006