COSTA H SOUSOU M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176332

License Status

ACTIVE

Business

Title

M.D.

First Name

COSTA

Middle

Last Name

SOUSOU

Business Name

COSTA H SOUSOU M.D.

Original Issue Date

07/29/2025

Effective Date

07/29/2025

Expiration Date

07/31/2026

City

HOLMEN

State

Zip

54636

Ever Disciplined

LastModifiedDate

07/29/2025