MARY L DALLOSTO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041093485

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

DALLOSTO

Business Name

MARY L DALLOSTO

Original Issue Date

01/01/1997

Effective Date

03/15/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012