SUSAN COSTELLO ROMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165274

License Status

NOT RENEWED

Business

First Name

SUSAN COSTELLO

Last Name

ROMAN

Business Name

SUSAN COSTELLO ROMAN

Original Issue Date

11/14/1975

Effective Date

11/14/1975

City

LOUDONVILLE

State

Zip

12211

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006