KIM R GUASTELLA - Advanced Practice Nurse License in North Carolina | # 209004975

KIM R GUASTELLA

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004975

License Status

INACTIVE

Business

N

First Name

KIM

Middle

R

Last Name

GUASTELLA

Business Name

KIM R GUASTELLA

Original Issue Date

01/09/2004

Effective Date

01/09/2004

Expiration Date

05/31/2006

State

NC

Ever Disciplined

N

LastModifiedDate

06/09/2008