License holder summary

COSTELLO, RICHARD JOSEPH is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for COSTELLO, RICHARD JOSEPH is 225-D FORREST AVENUE, Gainesville 30501. This doctor license is not current. The license was granted 01/07/1993 and expired on 12/31/1994.

Georgia

Composite Medical Board

COSTELLO, RICHARD JOSEPH
Medical - Physician Assistant
License number
000373
Date granted
01/07/1993
Date expires
12/31/1994
Class
Medical - Physician Assistant
Status
Lapsed
Address
225-D FORREST AVENUE
georgiadoctors.net
ID 38097326
LAST UPDATED 2024-02-28 05:06:48 UTC

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