AGNES KATHERINE COSTELLO MD - Medical Doctor License in Illinois | # 036117700

AGNES KATHERINE COSTELLO MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117700

License Status

ACTIVE

Business

N

Title

MD

First Name

AGNES

Middle

KATHERINE

Last Name

COSTELLO

Business Name

AGNES KATHERINE COSTELLO MD

Original Issue Date

02/26/2007

Effective Date

05/17/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2023