JILLIAN MARIE COSTELLO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173992

License Status

ACTIVE

Business

Title

First Name

JILLIAN

Middle

MARIE

Last Name

COSTELLO

Business Name

JILLIAN MARIE COSTELLO DO

Original Issue Date

03/03/2025

Effective Date

03/03/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

02/13/2025