TILLY COSTELLO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019215

License Status

NOT RENEWED

Business

First Name

TILLY

Last Name

COSTELLO

Business Name

TILLY COSTELLO

Original Issue Date

06/06/1967

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005