BRIAN MICHAEL COSTELLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059206

License Status

NOT RENEWED

Business

First Name

BRIAN MICHAEL

Last Name

COSTELLO

Suffix

Business Name

BRIAN MICHAEL COSTELLO MD

Original Issue Date

08/20/1979

Effective Date

08/20/1979

City

IOWA CITY

State

Zip

52240

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006