BECKY J MITAROTONDO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

NOT RENEWED

Business

First Name

BECKY

Middle

Last Name

MITAROTONDO

Business Name

BECKY J MITAROTONDO

Original Issue Date

07/23/2004

Effective Date

07/23/2004

Expiration Date

05/31/2006

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/09/2006