SUSAN GALE COSTELLO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168916

License Status

INACTIVE

Business

First Name

SUSAN GALE

Last Name

COSTELLO

Business Name

SUSAN GALE COSTELLO

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/2008

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/24/2008

Case Number

2006013706

Action

Suspension

Discipline Start Date

09/24/2008

Discipline Reason

Testing positive for alcohol while working at a facility in the state.