AMADOR ALFONSO ACOSTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052943

License Status

NOT RENEWED

Business

First Name

AMADOR ALFONSO

Last Name

ACOSTA

Suffix

Business Name

AMADOR ALFONSO ACOSTA MD

Original Issue Date

07/15/1976

Effective Date

07/15/1976

Expiration Date

07/01/1982

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006