The holder whose full name is Costello, Albert John,come from Muncie IN,hold the Physician license(NO.01017636A) which status is Expired Non-Renewable.
| Name | Costello, Albert John |
|---|---|
| License Number | 01017636A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Muncie |
| State | IN |