HEATHER HELENE COSTELLO MD - Medical Doctor License in Illinois | # 125048951

HEATHER HELENE COSTELLO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048951

License Status

EXPIRED

Business

N

First Name

HEATHER

Middle

HELENE

Last Name

COSTELLO

Suffix

MD

Business Name

HEATHER HELENE COSTELLO MD

Original Issue Date

06/20/2008

Effective Date

06/20/2008

Expiration Date

06/19/2009

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

07/15/2009