PHILIP R COSTELLO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024712

License Status

NOT RENEWED

Business

First Name

PHILIP R

Last Name

COSTELLO

Business Name

PHILIP R COSTELLO

Original Issue Date

03/12/1969

Expiration Date

01/31/1987

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005