GASTON DA COSTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

GASTON

Last Name

DA COSTA

Business Name

GASTON DA COSTA MD

Original Issue Date

12/03/2022

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

CARMEL

State

Zip

46032

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023