MARYLOU I GASTALA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041147896

License Status

INACTIVE

Business

First Name

MARYLOU I

Last Name

GASTALA

Business Name

MARYLOU I GASTALA

Original Issue Date

04/16/1973

Effective Date

04/11/2012

Expiration Date

05/31/2014

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014