ANNA-MARIA ALICIA DE COSTA MD - Medical Doctor License in Wisconsin | # 036144310

ANNA-MARIA ALICIA DE COSTA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144310

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ANNA-MARIA

Middle

ALICIA

Last Name

DE COSTA

Business Name

ANNA-MARIA ALICIA DE COSTA MD

Original Issue Date

09/12/2017

Effective Date

09/12/2017

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

01/14/2021