Utah
Division of Occupational and Professional Licensing
TIMOTHY MICHAEL COSTA
Physician - Physician & Surgeon
License number
6380851-1205
Date granted
03/01/2007
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
NORTH LOGAN, UT 843411749
utahlicensing.org
ID 29936087
LAST UPDATED 2024-03-27 16:08:03 UTC
LAST UPDATED 2024-03-27 16:08:03 UTC
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