License holder summary

Dominica Dominica C C Costello aka: Kelley is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Dominica Dominica C C Costello aka: Kelley is 255 Low Street, Suite 102, Newburyport 01950. This licensed professional license is current. The license was granted 02/04/2004 and expired on 08/04/2018.

Massachusetts

Division of Professional Licensure

Dominica Dominica C C Costello aka: Kelley
Board Of Registration In Medicine
License number
220100
Date granted
02/04/2004
Date expires
08/04/2018
Class
Board Of Registration In Medicine
Status
Active
Address
255 Low Street, Suite 102
licensingma.org
ID 41420471
LAST UPDATED 2024-02-09 03:33:35 UTC

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