ANDREW COSTELLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

ANDREW

Last Name

COSTELLO

Suffix

Business Name

ANDREW COSTELLO MD

Original Issue Date

06/18/1998

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023