KATHERINE A COSTELLO (Credential# 925305) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
KATHERINE A COSTELLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.096543. The credential type is registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1698 Centre St, West Roxbury, MA 02132-1240. The current status is active.
| Licensee Name | KATHERINE A COSTELLO |
| Credential ID | 925305 |
| Credential Number | 10.096543 |
| Credential Type | Registered Nurse |
| Business Address |
1698 Centre St West Roxbury MA 02132-1240 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-10-14 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1416899 | CSP.0065171 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-04-08 | 2017-04-08 - 2019-02-28 | LAPSED |
| 1397800 | 12.007000 | Advanced Practice Registered Nurse | 2017-04-05 | 2017-07-01 - 2018-06-30 | INACTIVE |
| 925306 | 10.093485-TEMP | Registered Nurse - Temporary | 2010-04-20 | 2010-04-20 - 2010-08-18 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine A Costello | 78 Willow Street, Cheshire, CT 06410 | Notary Public Appointment | 1974-07-01 ~ 1979-03-31 |
| Street Address | 1698 CENTRE ST |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132-1240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ben Freiberg | 352 Lagrange St., West Roxbury, MA 02132 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Kathryn Boyne | 10 Graham Ter, West Roxbury, MA 02132 | Licensed Clinical Social Worker | ~ |
| James Pappas | 264 Temple St, West Roxbury, MA 02132 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Mary N Tenenbaum | 282 Perham St, Boston, MA 02132 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kate Larsen | 15 Lorette Street, Boston, MA 02132 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Jacob Williams | 16 Bobolink St, West Roxbury, MA 02132 | Professional Counselor Associate | 2020-01-21 ~ 2020-11-30 |
| Michelle A Celentano | 8 Glenburnie Rd, West Roxbury, MA 02132 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Ruth C Peterle-dzurec | 506 Lagrange Street, West Roxbury, MA 02132 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Bridgid Maeve O'brien | 665 West Roxbury Pkwy, West Roxbury, MA 02132 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Guixiao Li | 29 Maplewood Street, West Roxbury, MA 02132 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 02132 | |||
| City | WEST ROXBURY |
| Zip Code | 02132 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + WEST ROXBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Al Costello · Costello's Roofing | 75 Beaver Road, Wethersfield, CT 06109 | Home Improvement Contractor | 1998-12-11 ~ 1999-11-30 |
| Costello Const Co | 123 Costello Rd, Newington, CT 06111 | Demolition Contractor | 1976-10-01 ~ 1977-09-30 |
| Justin Costello · Costello Construction | 63 Old Ridge Rd, New Milford, CT 06776 | Home Improvement Contractor | 2019-12-18 ~ 2020-11-30 |
| William T Costello · Costello Landscaping | 3 Hoerle Court, Plainville, CT 06062 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Kevin Costello · Costello Landscape and Maintenance Co | 874 Raymond Hill Rd, Oakdale, CT 06370 | Home Improvement Contractor | 2015-12-18 ~ 2016-11-30 |
| Claire Costello | Po Box 224, Oneco, CT 06373-0224 | Registered Nurse | 2020-04-27 ~ 2020-11-30 |
| Jill Costello | Po Box 152, Tillson, NY 12486-0152 | Registered Nurse | 2019-10-10 ~ 2020-07-31 |
| Paul Costello Builders Inc | 74 Overhill Rd, Milford, CT 06460 | Home Improvement Contractor | 2000-12-13 ~ 2001-11-30 |
| Susan C Costello | West Cornwall, CT 06796 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
| Pamala J Larkin | 85 Costello Rd, Brooklyn, CT 06234 | Registered Nurse | 2015-11-01 ~ 2016-10-31 |
Please comment or provide details below to improve the information on KATHERINE A COSTELLO.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).