ANNA KOSTRZEWSKI COSTAKIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119122

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

KOSTRZEWSKI

Last Name

COSTAKIS

Suffix

Business Name

ANNA KOSTRZEWSKI COSTAKIS MD

Original Issue Date

08/01/2007

Effective Date

05/17/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014