GEORGE COSTIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050956

License Status

EXPIRED

Business

First Name

GEORGE

Last Name

COSTIN

Suffix

Business Name

GEORGE COSTIN MD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine/Psychiatry

Ever Disciplined

LastModifiedDate

07/19/2011