JOSEPH P COSTELLO III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

JOSEPH P

Last Name

COSTELLO III

Suffix

Business Name

JOSEPH P COSTELLO III MD

Original Issue Date

12/06/1989

Effective Date

08/04/2023

Expiration Date

07/31/2026

City

SAN ANTONIO

State

Zip

78254

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2023