CAMILLE D DICOSTANZO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

CAMILLE

Middle

Last Name

DICOSTANZO

Business Name

CAMILLE D DICOSTANZO

Original Issue Date

04/01/2002

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60637

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026