ABIGAIL ANN BARTOLO COSTELLO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

ABIGAIL

Middle

ANN

Last Name

BARTOLO COSTELLO

Business Name

ABIGAIL ANN BARTOLO COSTELLO

Original Issue Date

10/02/2017

Effective Date

10/02/2017

Expiration Date

05/31/2018

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/19/2018