THOMAS P COSTELLO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073960

License Status

NOT RENEWED

Business

First Name

THOMAS P

Last Name

COSTELLO

Suffix

Business Name

THOMAS P COSTELLO DO

Original Issue Date

10/20/1986

Effective Date

10/20/1986

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006