SHAUNA MARIE COSTINETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065618

License Status

EXPIRED

Business

Title

First Name

SHAUNA

Middle

MARIE

Last Name

COSTINETT

Business Name

SHAUNA MARIE COSTINETT MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/02/2019