JOHN M COSTELLO - Medical Doctor License in Illinois | # 036095890

JOHN M COSTELLO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095890

License Status

NOT RENEWED

Business

N

First Name

JOHN

Middle

M

Last Name

COSTELLO

Business Name

JOHN M COSTELLO

Original Issue Date

07/01/1997

Effective Date

05/10/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021