Aneta Costa
Controlled Substance Registration - Physician
Indiana 01070617B Expired
This Indiana license was held by Aneta Costa. The license is no longer active. It was granted on 02/03/2012 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01070617B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/03/2012 (over 12 years ago)
- Expiry Date: 10/31/2013 (over 10 years ago)
LOCATIONS
A Address
Porter Healthcare, 814 LaPorte Avenue, Valparaiso IN 46383