LISA M COSTELLO DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****36

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

COSTELLO

Suffix

DVM

Business Name

LISA M COSTELLO DVM

Original Issue Date

01/30/2008

Effective Date

01/30/2008

Expiration Date

01/31/2009

City

MOKENA

State

Zip

60448

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009