COSTELLO CORNWALLIS STOKES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053501

License Status

NOT RENEWED

Business

First Name

COSTELLO

Middle

CORNWALLIS

Last Name

STOKES

Suffix

Business Name

COSTELLO CORNWALLIS STOKES MD

Original Issue Date

08/25/1976

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017