Idaho
Division of Occupational and Professional Licenses
Dr. ALLEN MICHAEL COSTA
Board Of Medicine
License number
MRM-1454
Date granted
02/12/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
100 6TH ST. NE ATLANTA GA 30322
idaholicensing.com
ID 48361498
LAST UPDATED 2024-02-25 14:15:24 UTC
LAST UPDATED 2024-02-25 14:15:24 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.