PETRONILO R COSTA MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618601

License Status

NOT RENEWED

Business

Business Name

PETRONILO R COSTA MD SC

Original Issue Date

07/13/2005

Effective Date

09/22/2010

Expiration Date

01/01/2012

City

LEMONT

State

Zip

60439

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/22/2012