Department of Safety and Professional Services
Board of Medical Practice
Michelle Elaine Costa
Medical - Physician And Surgeon
License number
38606
Date granted
03/09/1996
Date expires
04/30/1998
Class
Medical - Physician And Surgeon
Status
Canceled
Address
4023 Raleigh Ave, St. Louis Park, MN 55416
doctorsminnesota.org
ID 22192509
LAST UPDATED 2024-02-28 14:19:10 UTC
LAST UPDATED 2024-02-28 14:19:10 UTC
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