STACY A COSTIDAKIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041246265

License Status

NOT RENEWED

Business

First Name

STACY A

Last Name

COSTIDAKIS

Business Name

STACY A COSTIDAKIS

Original Issue Date

12/02/1987

Effective Date

12/02/1987

Expiration Date

05/31/1990

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006