NEAL THOMAS DECOSTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131571

License Status

NOT RENEWED

Business

Title

First Name

NEAL

Middle

THOMAS

Last Name

DECOSTA

Business Name

NEAL THOMAS DECOSTA MD

Original Issue Date

10/10/2012

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021