JAMES PATRICK COSTELLO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007707

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

PATRICK

Last Name

COSTELLO

Suffix

Business Name

JAMES PATRICK COSTELLO OD

Original Issue Date

03/09/1987

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005