DOMINIQUE LEAH COSCO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154981

License Status

ACTIVE

Business

Title

First Name

DOMINIQUE

Middle

LEAH

Last Name

COSCO

Business Name

DOMINIQUE LEAH COSCO MD

Original Issue Date

12/09/2020

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

04/26/2023