NICOLE NOEL COSTELLO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055360

License Status

CANCELLED

Business

Title

First Name

NICOLE

Middle

NOEL

Last Name

COSTELLO

Business Name

NICOLE NOEL COSTELLO MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/08/2008