MARYLOU R CUSTODIA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041188566

License Status

NOT RENEWED

Business

First Name

MARYLOU R

Last Name

CUSTODIA

Business Name

MARYLOU R CUSTODIA

Original Issue Date

05/07/1979

Effective Date

05/07/1979

Expiration Date

05/01/1982

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006