PETRONILO R COSTA MD Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006141

License Status

NOT RENEWED

Business

Business Name

PETRONILO R COSTA MD

Original Issue Date

03/02/1987

Effective Date

03/02/1987

Expiration Date

01/01/1998

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006