License holder summary

DR. FREDERICK MARVIN COSTELLO is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. FREDERICK MARVIN COSTELLO is 3525 E. Louise Dr, Suite 400 MERIDIAN ID 83642. This licensed professional license is current. The license was granted 04/10/2008 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DR. FREDERICK MARVIN COSTELLO
Board Of Medicine
License number
M-10231
Date granted
04/10/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3525 E. Louise Dr, Suite 400 MERIDIAN ID 83642
idaholicensing.com
ID 48348061
LAST UPDATED 2024-03-05 19:18:23 UTC

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