JESSE LEE COSTALES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166320

License Status

ACTIVE

Business

Title

First Name

JESSE

Middle

LEE

Last Name

COSTALES

Business Name

JESSE LEE COSTALES MD

Original Issue Date

08/04/2023

Effective Date

08/04/2023

Expiration Date

07/31/2026

City

PHOENIX

State

Zip

85027

Ever Disciplined

LastModifiedDate

03/19/2026