HEATHER HELENE COSTELLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122460

License Status

ACTIVE

Business

First Name

HEATHER

Middle

HELENE

Last Name

COSTELLO

Suffix

Business Name

HEATHER HELENE COSTELLO MD

Original Issue Date

01/15/2009

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

06/15/2023