License holder summary

Dr. ALLEN MICHAEL COSTA is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. ALLEN MICHAEL COSTA is 100 6TH ST. NE ATLANTA GA 30322. This licensed professional license is not current. The license was granted 02/12/2015 and expired on 06/30/2016.

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

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