KIM R GUASTELLA Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

CANCELLED

Business

First Name

KIM

Middle

Last Name

GUASTELLA

Business Name

KIM R GUASTELLA

Original Issue Date

03/03/2004

Effective Date

03/03/2004

Expiration Date

05/31/2006

City

WAXHAW

State

Zip

28173

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/28/2006