MODESTO J ARDISANA DC - Registered Nurse License in Illinois | # 041075053

MODESTO J ARDISANA DC

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041075053

License Status

NOT RENEWED

Business

N

First Name

MODESTO J

Last Name

ARDISANA

Suffix

DC

Business Name

MODESTO J ARDISANA DC

Original Issue Date

05/06/1953

Effective Date

05/06/1953

Expiration Date

05/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/05/2007