BRIAN MICHAEL COSTELLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

BRIAN MICHAEL

Last Name

COSTELLO

Suffix

Business Name

BRIAN MICHAEL COSTELLO MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006