ANNA KOSTRZEWSKI COSTAKIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

KOSTRZEWSKI

Last Name

COSTAKIS

Suffix

Business Name

ANNA KOSTRZEWSKI COSTAKIS MD

Original Issue Date

08/01/2007

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014