P R COSTA MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004710

License Status

NOT RENEWED

Business

Business Name

P R COSTA MD SC

Original Issue Date

08/14/1981

Effective Date

08/14/1981

Expiration Date

01/01/1985

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006