KRISTINE MARIE COSTELLO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081475

License Status

INACTIVE

Business

First Name

KRISTINE

Middle

MARIE

Last Name

COSTELLO

Business Name

KRISTINE MARIE COSTELLO

Original Issue Date

10/23/1997

Effective Date

11/04/2002

Expiration Date

01/31/2003

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005