DALE L DZIEWIONTKOSKI Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169242

License Status

INACTIVE

Business

First Name

DALE L

Last Name

DZIEWIONTKOSKI

Business Name

DALE L DZIEWIONTKOSKI

Original Issue Date

11/01/1976

Effective Date

04/06/2010

Expiration Date

05/31/2012

City

WILDWOOD

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/08/2012