JUAN ANTONIO ACOSTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137134

License Status

INACTIVE

Business

Title

First Name

JUAN

Middle

ANTONIO

Last Name

ACOSTA

Business Name

JUAN ANTONIO ACOSTA MD

Original Issue Date

01/21/2015

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2023