License holder summary

Mark E Costa is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Mark E Costa is 361 Woodward Street, Enhanced Medical Care, LLC, Waban 02468-2027. This licensed professional license is current. The license was granted 07/31/1985 and expired on 08/13/2017.

Massachusetts

Division of Professional Licensure

Mark E Costa
Board Of Registration In Medicine
License number
54772
Date granted
07/31/1985
Date expires
08/13/2017
Class
Board Of Registration In Medicine
Status
Active
Address
361 Woodward Street, Enhanced Medical Care, LLC
licensingma.org
ID 41420453
LAST UPDATED 2024-03-10 20:10:54 UTC

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