THOMAS CLARK COSTA TUMAMPO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041401232

License Status

NOT RENEWED

Business

First Name

THOMAS CLARK

Middle

COSTA

Last Name

TUMAMPO

Business Name

THOMAS CLARK COSTA TUMAMPO

Original Issue Date

05/10/2012

Effective Date

05/01/2014

Expiration Date

05/31/2016

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/11/2016