LACOSTA RAE ABBOTT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115641

License Status

NOT RENEWED

Business

First Name

LACOSTA

Middle

RAE

Last Name

ABBOTT

Business Name

LACOSTA RAE ABBOTT

Original Issue Date

09/17/2012

Effective Date

01/14/2019

Expiration Date

01/31/2021

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

03/11/2021