LAURIE A VASTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041246689

License Status

NOT RENEWED

Business

First Name

LAURIE A

Last Name

VASTA

Business Name

LAURIE A VASTA

Original Issue Date

02/20/1988

Effective Date

04/06/2016

Expiration Date

05/31/2018

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/19/2018