Department of Safety and Professional Services
Board of Medical Practice
Derek Edward Costa
Medical - Physician And Surgeon
License number
33044
Date granted
09/16/1989
Date expires
06/30/1994
Class
Medical - Physician And Surgeon
Status
Canceled
Address
4006 SE Cameron Pl, Port Orchard, WA 98366-2223
doctorsminnesota.org
ID 22192508
LAST UPDATED 2024-01-19 21:25:28 UTC
LAST UPDATED 2024-01-19 21:25:28 UTC
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