License holder summary

Michelle Elaine Costa is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Michelle Elaine Costa is 4023 Raleigh Ave, St. Louis Park, MN 55416. This doctor license is not current. The license was granted 03/09/1996 and expired on 04/30/1998.

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 2024-04-05 00:02:11 UTC

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