AGNES KATHERINE COSTELLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117700

License Status

ACTIVE

Business

Title

First Name

AGNES

Middle

KATHERINE

Last Name

COSTELLO

Business Name

AGNES KATHERINE COSTELLO MD

Original Issue Date

02/26/2007

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/28/2023