License holder summary

DE COSTA, CAROL DALE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for DE COSTA, CAROL DALE, MD is 115A VANDERBILT AVENUE, BROOKLYN 11205. This doctor license is not current. The license was granted 02/08/1996 and expired on 12/31/1999.

Georgia

Composite Medical Board

DE COSTA, CAROL DALE, MD
Medical - Physician
License number
041278
Date granted
02/08/1996
Date expires
12/31/1999
Class
Medical - Physician
Status
Lapsed
Address
115A VANDERBILT AVENUE
georgiadoctors.net
ID 38037942
LAST UPDATED 2024-04-21 06:13:29 UTC

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