MADELON LAVERNE KOSTYK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041329036

License Status

NOT RENEWED

Business

First Name

MADELON

Middle

LAVERNE

Last Name

KOSTYK

Business Name

MADELON LAVERNE KOSTYK

Original Issue Date

03/28/2002

Effective Date

03/28/2002

Expiration Date

05/31/2004

City

SANTA ROSA

State

Zip

95407

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006