DOMINIC COSTABILE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071000

License Status

ACTIVE

Business

First Name

DOMINIC

Last Name

COSTABILE

Suffix

Business Name

DOMINIC COSTABILE DO

Original Issue Date

06/24/1985

Effective Date

08/05/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/05/2023