CHARITY KOSTELAC Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013777

License Status

NOT RENEWED

Business

First Name

CHARITY

Last Name

KOSTELAC

Business Name

CHARITY KOSTELAC

Original Issue Date

01/12/2016

Effective Date

05/03/2016

Expiration Date

05/31/2018

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/07/2019

Case Number

2017004719

Action

Refuse To Renew

Discipline Start Date

01/29/2019

Discipline Reason

due to guilty plea to Obtaining a Controlled Substance by Fraud in the Southern District of Illinois.