JAMES A COSTIS DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

CANCELLED

Business

Title

DDS

First Name

JAMES

Middle

Last Name

COSTIS

Business Name

JAMES A COSTIS DDS

Original Issue Date

09/04/1990

Effective Date

09/04/1990

Expiration Date

09/30/1992

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005