JONATHAN L COSTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075496

License Status

NOT RENEWED

Business

First Name

JONATHAN L

Last Name

COSTA

Suffix

Business Name

JONATHAN L COSTA MD

Original Issue Date

07/18/1987

Effective Date

07/18/1987

Expiration Date

07/31/1999

City

HERSHEY

State

Zip

17033

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

12/12/2013