SUZANNE KAY COSTILOW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049508

License Status

NOT RENEWED

Business

First Name

SUZANNE KAY

Last Name

COSTILOW

Business Name

SUZANNE KAY COSTILOW

Original Issue Date

07/02/1980

Expiration Date

05/01/1982

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/21/2005