KAREN LYNN COSTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001845

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

LYNN

Last Name

COSTA

Business Name

KAREN LYNN COSTA

Original Issue Date

08/12/2002

Effective Date

08/12/2002

Expiration Date

03/01/2004

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006