MARIA ROSA COSTANZO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

MARIA ROSA

Last Name

COSTANZO

Business Name

MARIA ROSA COSTANZO

Original Issue Date

01/01/1997

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023