PRIYANKA COSTA MD - Medical Doctor License in Illinois | # 125064001

PRIYANKA COSTA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064001

License Status

EXPIRED

Business

N

First Name

PRIYANKA

Last Name

COSTA

Suffix

MD

Business Name

PRIYANKA COSTA MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

08/16/2016