GASTON DA COSTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146545

License Status

ACTIVE

Business

Title

First Name

GASTON

Last Name

DA COSTA

Business Name

GASTON DA COSTA MD

Original Issue Date

06/22/2018

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

CARMEL

State

Zip

46032

County

HAMILTON

Ever Disciplined

LastModifiedDate

02/14/2024