MARY ELIZABETH ACOSTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073659

License Status

CANCELLED

Business

Title

First Name

MARY

Middle

ELIZABETH

Last Name

ACOSTA

Business Name

MARY ELIZABETH ACOSTA MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/02/2019