SR JOAQUINA COSTA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034812

License Status

INACTIVE

Business

First Name

SR JOAQUINA

Last Name

COSTA

Business Name

SR JOAQUINA COSTA

Original Issue Date

04/24/1974

Effective Date

12/28/2004

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005