AARON DAVID COSTERISAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

AARON

Middle

DAVID

Last Name

COSTERISAN

Business Name

AARON DAVID COSTERISAN MD

Original Issue Date

05/11/2012

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023