JOSEPH B COSTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

JOSEPH B

Last Name

COSTA

Suffix

Business Name

JOSEPH B COSTA MD

Original Issue Date

01/19/1988

Effective Date

12/26/2012

Expiration Date

07/31/2014

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014