CHARITY KOSTELAC Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

INOPERATIVE

Business

First Name

CHARITY

Last Name

KOSTELAC

Business Name

CHARITY KOSTELAC

Original Issue Date

03/02/2016

Effective Date

03/02/2016

Expiration Date

05/31/2018

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/01/2018