MARY ELIZABETH ACOSTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

ELIZABETH

Last Name

ACOSTA

Business Name

MARY ELIZABETH ACOSTA MD

Original Issue Date

02/07/2022

Effective Date

02/07/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023