ELLEN M COSTELLO Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

INOPERATIVE

Business

First Name

ELLEN M

Last Name

COSTELLO

Business Name

ELLEN M COSTELLO

Original Issue Date

05/09/2016

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

06/23/2020