KENNETH P EVANGELISTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041377840

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

EVANGELISTA

Business Name

KENNETH P EVANGELISTA

Original Issue Date

07/24/2009

Effective Date

09/23/2020

Expiration Date

08/31/2022

City

SAN DIEGO

State

Zip

92110

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022