The holder whose full name is Costelac, David Wayne,come from Lebanon TN,hold the Registered Nurse license(NO.28170994A) which status is Expired.
| Name | Costelac, David Wayne |
|---|---|
| License Number | 28170994A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Lebanon |
| State | TN |