Indiana
Professional Licensing Agency
Albert John Costello
Controlled Substance Registration - Physician
License number
01017636B
Date granted
11/30/1984
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7404 Landings Trail, Muncie IN 47303
indianalicensing.org
ID 5897588
LAST UPDATED 2024-03-19 09:05:32 UTC
LAST UPDATED 2024-03-19 09:05:32 UTC
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