JOHN M COSTELLO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095890

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

COSTELLO

Business Name

JOHN M COSTELLO

Original Issue Date

07/01/1997

Effective Date

05/10/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021