MICHELLE ELIZABETH DACOSTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

ELIZABETH

Last Name

DACOSTA

Business Name

MICHELLE ELIZABETH DACOSTA MD

Original Issue Date

02/16/2025

Effective Date

02/16/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2025