PETER COSTELLO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

PETER

Last Name

COSTELLO

Business Name

PETER COSTELLO

Original Issue Date

10/28/2025

Effective Date

10/28/2025

Expiration Date

05/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026