KAREN LYNN COSTA - Physician Assistant License in Illinois | # 085001845

KAREN LYNN COSTA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001845

License Status

NOT RENEWED

Business

N

First Name

KAREN

Middle

LYNN

Last Name

COSTA

Business Name

KAREN LYNN COSTA

Original Issue Date

08/12/2002

Effective Date

08/12/2002

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006