Ohio
Board of Licensing
Costa, Carol-Emergency Professional Services
Medical Board - 41.Pa Supervision Agreement
License number
41.13881-SA
Date granted
11/17/2011
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Good Samaritan Hospitial, 2222 Philadelphia Dr.,, Dayton, OH 45406
ohiolicensing.org
ID 29484650
LAST UPDATED 2024-03-31 18:52:20 UTC
LAST UPDATED 2024-03-31 18:52:20 UTC