JAMES PATRICK COSTELLO OD - Optometrist License in Illinois | # 047007707

JAMES PATRICK COSTELLO OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007707

License Status

NOT RENEWED

Business

N

First Name

JAMES

Middle

PATRICK

Last Name

COSTELLO

Suffix

OD

Business Name

JAMES PATRICK COSTELLO OD

Original Issue Date

03/09/1987

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005