COLUMBUS L COSTALES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043114759

License Status

NOT RENEWED

Business

First Name

COLUMBUS

Middle

Last Name

COSTALES

Business Name

COLUMBUS L COSTALES

Original Issue Date

05/11/2012

Effective Date

01/04/2017

Expiration Date

01/31/2019

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019