MELBA A COSTLIOW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020072

License Status

INACTIVE

Business

First Name

MELBA A

Last Name

COSTLIOW

Business Name

MELBA A COSTLIOW

Original Issue Date

06/28/1967

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/21/2005