AGNES KATHERINE COSTELLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

AGNES

Middle

KATHERINE

Last Name

COSTELLO

Business Name

AGNES KATHERINE COSTELLO MD

Original Issue Date

02/26/2007

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023