JUSTIN ADAM RIESTRA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041433902

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

ADAM

Last Name

RIESTRA

Business Name

JUSTIN ADAM RIESTRA

Original Issue Date

08/12/2015

Effective Date

08/12/2015

Expiration Date

05/31/2016

City

LOUISVILLE

State

Zip

40217

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/11/2016