KRISTINE MARIE COSTELLO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

MARIE

Last Name

COSTELLO

Business Name

KRISTINE MARIE COSTELLO

Original Issue Date

08/10/2016

Effective Date

08/10/2016

Expiration Date

05/31/2018

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

07/19/2018