CARLO DOMINGO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

INACTIVE

Business

First Name

CARLO

Last Name

DOMINGO

Business Name

CARLO DOMINGO

Original Issue Date

05/30/2019

Effective Date

08/07/2020

Expiration Date

05/31/2022

City

HAINESVILLE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

08/07/2020