SUSAN DIANE GUASTELLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041202531

License Status

NOT RENEWED

Business

First Name

SUSAN DIANE

Last Name

GUASTELLA

Business Name

SUSAN DIANE GUASTELLA

Original Issue Date

05/19/1981

Effective Date

04/30/2012

Expiration Date

05/31/2014

City

LAFAYETTE

State

Zip

47909

Ever Disciplined

LastModifiedDate

08/14/2014