ANDREW SEAN COSTERISAN - Physician Assistant License in Illinois | # 085004969

ANDREW SEAN COSTERISAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004969

License Status

NOT RENEWED

Business

N

First Name

ANDREW

Middle

SEAN

Last Name

COSTERISAN

Business Name

ANDREW SEAN COSTERISAN

Original Issue Date

12/24/2013

Effective Date

02/03/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025