MADZRA G AMILBANGSA - Registered Nurse License in Illinois | # 041378493

MADZRA G AMILBANGSA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041378493

License Status

NOT RENEWED

Business

N

First Name

MADZRA

Middle

G

Last Name

AMILBANGSA

Business Name

MADZRA G AMILBANGSA

Original Issue Date

08/10/2009

Effective Date

03/05/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012