DIXIE D COSTANZA - Registered Nurse License in Illinois | # 041161803

DIXIE D COSTANZA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161803

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006