JACQUELINE ROSE COSTELLO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025397

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

ROSE

Last Name

COSTELLO

Business Name

JACQUELINE ROSE COSTELLO

Original Issue Date

06/27/2022

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

SIMS

State

Zip

27880

Ever Disciplined

LastModifiedDate

03/02/2026