MARY JANE FORREST-COSTA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041191356

License Status

INACTIVE

Business

First Name

MARY JANE

Last Name

FORREST-COSTA

Business Name

MARY JANE FORREST-COSTA

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1998

City

DOYLESTOWN

State

Zip

18901

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/27/2006