GERTRUDE COSTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020071

License Status

NOT RENEWED

Business

First Name

GERTRUDE

Last Name

COSTA

Business Name

GERTRUDE COSTA

Original Issue Date

06/28/1967

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005