License Directory

Brian Addis Costello

Active

Michigan license 4301104240

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301104240
Status
Active (Active - In Late Renewal)
First issued
October 2, 2013
Expired
October 2, 2026
License holder
Brian Addis Costello
Entity type
Individual

Classifications

Contact

Mayo Clinic
200 First Street SW
Rochester, MN 55905
Non-Michigan County County