CHARITY KOSTELAC Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

NOT RENEWED

Business

First Name

CHARITY

Last Name

KOSTELAC

Business Name

CHARITY KOSTELAC

Original Issue Date

07/21/2016

Effective Date

07/21/2016

Expiration Date

05/31/2018

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/19/2018