KIM R GUASTELLA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337715

License Status

INACTIVE

Business

First Name

KIM

Middle

Last Name

GUASTELLA

Business Name

KIM R GUASTELLA

Original Issue Date

10/02/2003

Effective Date

10/02/2003

Expiration Date

05/31/2006

City

WAXHAW

State

Zip

28173

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/09/2006