License holder summary

COSTAKOS DENNIS THEODORE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for COSTAKOS DENNIS THEODORE is LACROSSE WI. This doctor license is current. The license was granted 09/23/1985 and expired on 02/29/2016.

New York

Office of the Professions

COSTAKOS DENNIS THEODORE
Medicine (Physician, Including M Ds & D Os)
License number
164233
Date granted
09/23/1985
Date expires
02/29/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
LACROSSE WI
nymedicine.org
ID 30119146
LAST UPDATED 2026-05-06 11:41:01 UTC

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