License holder summary

TIMOTHY DAVID COSTELLO is a Medical Interim Limited licensed to practice in Pennsylvania. The address on file for TIMOTHY DAVID COSTELLO is Breinigsville PA 18031. This licensed professional license is not current. The license was granted 03/25/2009 and expired on 03/24/2011.

Pennsylvania

Department of State

TIMOTHY DAVID COSTELLO
Medical Interim Limited
License number
ML002818
Date granted
03/25/2009
Date expires
03/24/2011
Class
Medical Interim Limited
Status
Voided
Address
Breinigsville PA 18031
palicensing.org
ID 16624532
LAST UPDATED 2024-03-19 19:49:33 UTC

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