License holder summary

JENNIFER LYNN COSTILLA is a Medical Board - 33.Lmt C D Group licensed to practice in Ohio. The address on file for JENNIFER LYNN COSTILLA is 3536 e. co. rd. 50, tiffin, OH 44883. This licensed professional license is current. The license was granted 01/16/2004 and expired on 04/01/2015.

Ohio

Board of Licensing

JENNIFER LYNN COSTILLA
Medical Board - 33.Lmt C D Group
License number
33.012817-C-D
Date granted
01/16/2004
Date expires
04/01/2015
Class
Medical Board - 33.Lmt C D Group
Status
Active (In Renewal)
Address
3536 e. co. rd. 50, tiffin, OH 44883
ohiolicensing.org
ID 28451782
LAST UPDATED 2026-07-05 16:44:44 UTC

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