SAMIR DAVID DACOSTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075921

License Status

EXPIRED

Business

Title

First Name

SAMIR

Middle

DAVID

Last Name

DACOSTA

Business Name

SAMIR DAVID DACOSTA MD

Original Issue Date

06/30/2023

Effective Date

06/30/2023

Expiration Date

06/29/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/30/2024