HEATHER HELENE COSTELLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048951

License Status

EXPIRED

Business

First Name

HEATHER

Middle

HELENE

Last Name

COSTELLO

Suffix

Business Name

HEATHER HELENE COSTELLO MD

Original Issue Date

06/20/2008

Effective Date

06/20/2008

Expiration Date

06/19/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/15/2009