DANIEL JOSEPH COSTIGAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

JOSEPH

Last Name

COSTIGAN

Business Name

DANIEL JOSEPH COSTIGAN

Original Issue Date

03/31/2006

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021