INEZ JANE DOMINGUEZ LUNA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

NOT RENEWED

Business

First Name

INEZ JANE

Middle

DOMINGUEZ

Last Name

LUNA

Business Name

INEZ JANE DOMINGUEZ LUNA

Original Issue Date

08/01/2001

Effective Date

08/01/2001

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006