CARLOS MIGUEL DACOSTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062265

License Status

NOT RENEWED

Business

First Name

CARLOS MIGUEL

Last Name

DACOSTA

Suffix

Business Name

CARLOS MIGUEL DACOSTA MD

Original Issue Date

06/16/1981

Effective Date

06/16/1981

Expiration Date

07/31/1987

City

DIXON

State

Zip

63401

County

LEE

Ever Disciplined

LastModifiedDate

09/20/2006