ANNA KOSTRZEWSKI COSTAKIS MD - Medical Doctor License in Illinois | # 125049042

ANNA KOSTRZEWSKI COSTAKIS MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049042

License Status

CANCELLED

Business

N

First Name

ANNA

Middle

KOSTRZEWSKI

Last Name

COSTAKIS

Suffix

MD

Business Name

ANNA KOSTRZEWSKI COSTAKIS MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

05/09/2008