JILLIAN MARIE COSTELLO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

JILLIAN

Middle

MARIE

Last Name

COSTELLO

Business Name

JILLIAN MARIE COSTELLO DO

Original Issue Date

06/06/2025

Effective Date

06/06/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2025