RITA J HUSTAVA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076460

License Status

INACTIVE

Business

First Name

RITA J

Last Name

HUSTAVA

Business Name

RITA J HUSTAVA

Original Issue Date

12/15/1953

Effective Date

12/15/1953

Expiration Date

05/31/1998

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006