JOSE MAURICIO LI COSTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054659

License Status

NOT RENEWED

Business

First Name

JOSE MAURICIO LI

Last Name

COSTA

Suffix

Business Name

JOSE MAURICIO LI COSTA MD

Original Issue Date

06/09/1977

Effective Date

06/09/1977

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/05/2010