HENRI LUIS ACOSTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120815

License Status

NOT RENEWED

Business

First Name

HENRI

Middle

LUIS

Last Name

ACOSTA

Suffix

Business Name

HENRI LUIS ACOSTA MD

Original Issue Date

05/07/2008

Effective Date

07/19/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014