KAREN LYNN COSTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

LYNN

Last Name

COSTA

Business Name

KAREN LYNN COSTA

Original Issue Date

01/27/2003

Effective Date

01/27/2003

Expiration Date

03/01/2004

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006