ROBERT SAMUEL DECOSTA HIGGINS 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

ROBERT SAMUEL

Middle

DECOSTA

Last Name

HIGGINS

Suffix

Business Name

ROBERT SAMUEL DECOSTA HIGGINS MD

Original Issue Date

03/03/2003

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011