DIXIE D COSTANZA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161803

License Status

INACTIVE

Business

First Name

DIXIE D

Last Name

COSTANZA

Business Name

DIXIE D COSTANZA

Original Issue Date

10/24/1975

Effective Date

10/24/1975

Expiration Date

05/31/2006

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006