RENATO B REVILLA - Registered Nurse License in Texas | # 041306056

RENATO B REVILLA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306056

License Status

NOT RENEWED

Business

N

First Name

RENATO

Middle

B

Last Name

REVILLA

Business Name

RENATO B REVILLA

Original Issue Date

09/19/1997

Effective Date

03/05/2010

Expiration Date

05/31/2012

State

TX

Ever Disciplined

N

LastModifiedDate

07/10/2012