KRISTINE MARIE COSTELLO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013674

License Status

INACTIVE

Business

First Name

KRISTINE

Middle

MARIE

Last Name

COSTELLO

Business Name

KRISTINE MARIE COSTELLO

Original Issue Date

12/11/2015

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

11/26/2024