ANNA KOSTRZEWSKI COSTAKIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049042

License Status

CANCELLED

Business

First Name

ANNA

Middle

KOSTRZEWSKI

Last Name

COSTAKIS

Suffix

Business Name

ANNA KOSTRZEWSKI COSTAKIS MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/09/2008