SUSAN M COSTELLO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

COSTELLO

Business Name

SUSAN M COSTELLO

Original Issue Date

04/27/2024

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026