SABRINA M DACOSTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060206

License Status

CANCELLED

Business

Title

First Name

SABRINA

Middle

Last Name

DACOSTA

Business Name

SABRINA M DACOSTA MD

Original Issue Date

07/10/2015

Effective Date

07/10/2015

Expiration Date

12/31/2015

City

BARRINGTON

State

Zip

60010

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/26/2015