TILLY COSTELLO - Registered Nurse License in Illinois | # 043019215

TILLY COSTELLO

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019215

License Status

NOT RENEWED

Business

N

First Name

TILLY

Last Name

COSTELLO

Business Name

TILLY COSTELLO

Original Issue Date

06/06/1967

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005