COLLEEN MARY COSTELLO LEE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014187

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

MARY

Last Name

COSTELLO LEE

Business Name

COLLEEN MARY COSTELLO LEE

Original Issue Date

03/30/2016

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

03/06/2026