COLLEEN MARY COSTELLO LEE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

MARY

Last Name

COSTELLO LEE

Business Name

COLLEEN MARY COSTELLO LEE

Original Issue Date

06/23/2016

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

MOKENA

State

Zip

60448

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026