License holder summary

MICHAEL GERARD COSTELLO is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for MICHAEL GERARD COSTELLO is Grosse Pointe, MI 48236. This licensed professional license is current. The license was granted 01/11/2001 and expired on 08/31/2015.

Michigan

Department of Licensing and Regulation

MICHAEL GERARD COSTELLO
Physician's Assistant - Physician Assistant
License number
5601003192
Date granted
01/11/2001
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Grosse Pointe, MI 48236
michiganlicensing.org
ID 25991358
LAST UPDATED 2024-04-14 02:10:50 UTC

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