ANDREW SEAN COSTERISAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004969

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

SEAN

Last Name

COSTERISAN

Business Name

ANDREW SEAN COSTERISAN

Original Issue Date

12/24/2013

Effective Date

02/03/2022

Expiration Date

03/01/2024

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2025