CARMEN FRAGA SOTO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

NOT RENEWED

Business

First Name

CARMEN FRAGA

Last Name

SOTO

Business Name

CARMEN FRAGA SOTO

Original Issue Date

08/20/2001

Effective Date

08/20/2001

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006