TINA M COSTELLO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058923

License Status

INACTIVE

Business

First Name

TINA

Middle

Last Name

COSTELLO

Business Name

TINA M COSTELLO

Original Issue Date

12/27/1983

Expiration Date

01/31/1999

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2005