MICHELLE ELIZABETH DACOSTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173392

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

ELIZABETH

Last Name

DACOSTA

Business Name

MICHELLE ELIZABETH DACOSTA MD

Original Issue Date

01/15/2025

Effective Date

01/15/2025

Expiration Date

07/31/2026

City

SAN ANTONIO

State

Zip

78249

Ever Disciplined

LastModifiedDate

01/15/2025