JONATHAN L COSTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

JONATHAN L

Last Name

COSTA

Suffix

Business Name

JONATHAN L COSTA MD

Original Issue Date

08/06/1987

Effective Date

08/06/1987

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006