BRIANA T COSTELLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062915

License Status

EXPIRED

Business

Title

First Name

BRIANA

Middle

Last Name

COSTELLO

Business Name

BRIANA T COSTELLO MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016