CONSTANCE RUTH COSTELLO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003005

License Status

INACTIVE

Business

First Name

CONSTANCE RUTH

Last Name

COSTELLO

Business Name

CONSTANCE RUTH COSTELLO

Original Issue Date

07/13/2001

Effective Date

07/13/2001

Expiration Date

05/31/2004

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/09/2008