INEZ JANE DOMINGUEZ LUNA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001160

License Status

NOT RENEWED

Business

First Name

INEZ JANE

Middle

DOMINGUEZ

Last Name

LUNA

Business Name

INEZ JANE DOMINGUEZ LUNA

Original Issue Date

06/18/2001

Effective Date

06/18/2001

Expiration Date

05/31/2006

City

MILWAUKEE

State

Zip

53207

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/09/2008