PATRICK COSTELLO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

ACTIVE

Business

First Name

PATRICK

Last Name

COSTELLO

Business Name

PATRICK COSTELLO

Original Issue Date

12/16/2022

Effective Date

01/24/2026

Expiration Date

03/01/2028

City

ELMHURST

State

Zip

60126

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/24/2026