ANTHONY ANIBAL ACOSTA MD - Medical Doctor License in Illinois | # 125061628

ANTHONY ANIBAL ACOSTA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061628

License Status

CANCELLED

Business

N

Title

MD

First Name

ANTHONY

Middle

ANIBAL

Last Name

ACOSTA

Business Name

ANTHONY ANIBAL ACOSTA MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2014