Petronilo R Costa Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036046108

Status

Inactive (Permanent Inactive)

First issued

August 17, 1972

Expired

July 31, 2023

License holder

Petronilo R Costa

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

06/10/2020

Other Illinois licenses under this name

• IL
  Petronilo R Costa Md

  License 042006141

  Registered Medical Corporation
  Expired

  Northbrook, IL

  Expired Jan 1, 1998
• IL
  Petronilo R Costa Md

  License 33*****71 · Petronilo R Costa

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Deerfield, IL

  Expired Jul 31, 2023

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