MARILYN S COSTANZO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121718

License Status

INACTIVE

Business

First Name

MARILYN

Middle

Last Name

COSTANZO

Business Name

MARILYN S COSTANZO

Original Issue Date

08/15/1967

Effective Date

08/15/1967

Expiration Date

05/01/1969

City

SOUTH PORTLAND

State

Zip

04106

County

MAINE

Ever Disciplined

LastModifiedDate

09/27/2006