JESSE LEE COSTALES MD - Medical Doctor License in Arizona | # 036166320

JESSE LEE COSTALES MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166320

License Status

ACTIVE

Business

N

Title

MD

First Name

JESSE

Middle

LEE

Last Name

COSTALES

Business Name

JESSE LEE COSTALES MD

Original Issue Date

08/04/2023

Effective Date

08/04/2023

Expiration Date

07/31/2026

State

AZ

Ever Disciplined

N

LastModifiedDate

03/19/2026