ROBERT SAMUEL DECOSTA HIGGINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108567

License Status

NOT RENEWED

Business

First Name

ROBERT SAMUEL

Middle

DECOSTA

Last Name

HIGGINS

Suffix

Business Name

ROBERT SAMUEL DECOSTA HIGGINS MD

Original Issue Date

02/10/2003

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014