JOSEPH B COSTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075512

License Status

NOT RENEWED

Business

First Name

JOSEPH B

Last Name

COSTA

Suffix

Business Name

JOSEPH B COSTA MD

Original Issue Date

08/01/1987

Effective Date

05/04/2011

Expiration Date

07/31/2014

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014