KIM R GUASTELLA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004975

License Status

INACTIVE

Business

First Name

KIM

Middle

Last Name

GUASTELLA

Business Name

KIM R GUASTELLA

Original Issue Date

01/09/2004

Effective Date

01/09/2004

Expiration Date

05/31/2006

City

WAXHAW

State

Zip

28173

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

06/09/2008