CHRIS ODESS COSTAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014209

License Status

EXPIRED

Business

First Name

CHRIS ODESS

Last Name

COSTAS

Suffix

Business Name

CHRIS ODESS COSTAS MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006