GALE KELSEY COSTELLO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000531

License Status

NOT RENEWED

Business

First Name

GALE

Middle

KELSEY

Last Name

COSTELLO

Business Name

GALE KELSEY COSTELLO

Original Issue Date

07/24/1961

Effective Date

08/03/2012

Expiration Date

09/30/2015

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016