DENNIS JAMES COSTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177187

License Status

ACTIVE

Business

Title

First Name

DENNIS

Middle

JAMES

Last Name

COSTA

Business Name

DENNIS JAMES COSTA MD

Original Issue Date

09/16/2025

Effective Date

09/16/2025

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

Ever Disciplined

LastModifiedDate

09/16/2025