ANGELO ANDREW COSTAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

ANGELO ANDREW

Last Name

COSTAS

Suffix

Business Name

ANGELO ANDREW COSTAS MD

Original Issue Date

06/28/1996

Effective Date

06/28/1996

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60604

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020