ADELFA Z AMANTILLO - Registered Nurse License in Illinois | # 041146781

ADELFA Z AMANTILLO

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146781

License Status

NOT RENEWED

Business

N

First Name

ADELFA Z

Last Name

AMANTILLO

Business Name

ADELFA Z AMANTILLO

Original Issue Date

12/13/1972

Effective Date

05/10/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012