PETRONILO R COSTA MD - Medical Doctor License in Illinois | # 036046108

PETRONILO R COSTA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046108

License Status

NOT RENEWED

Business

N

Title

MD

First Name

PETRONILO

Middle

R

Last Name

COSTA

Business Name

PETRONILO R COSTA MD

Original Issue Date

08/17/1972

Effective Date

06/10/2020

Expiration Date

07/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

11/30/2023