PETRONILO R COSTA MD - Medical Corporation License in Illinois | # 042006141

PETRONILO R COSTA MD

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006141

License Status

NOT RENEWED

Business

Y

Business Name

PETRONILO R COSTA MD

Original Issue Date

03/02/1987

Effective Date

03/02/1987

Expiration Date

01/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006