DANIEL JESSE COSTA JR DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038007294

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

JESSE

Last Name

COSTA

Suffix

Business Name

DANIEL JESSE COSTA JR DC

Original Issue Date

08/03/1993

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

NAPERVILLE

State

Zip

60566

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2014002524

Action

Suspension

Discipline Start Date

07/01/2016

Discipline End Date

02/08/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 02/09/2022.