SR M GONZAGA KOSTOLNIK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018516

License Status

INACTIVE

Business

First Name

SR M GONZAGA

Last Name

KOSTOLNIK

Business Name

SR M GONZAGA KOSTOLNIK

Original Issue Date

02/28/1967

Expiration Date

01/31/1985

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005