BEVERLEY P DACOSTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080087

License Status

NOT RENEWED

Business

First Name

BEVERLEY P

Last Name

DACOSTA

Business Name

BEVERLEY P DACOSTA

Original Issue Date

10/29/1996

Effective Date

01/05/2015

Expiration Date

01/31/2017

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017