SR CLARISSIMA GOGOLOK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041039924

License Status

INACTIVE

Business

First Name

SR CLARISSIMA

Last Name

GOGOLOK

Business Name

SR CLARISSIMA GOGOLOK

Original Issue Date

10/18/1940

Effective Date

10/18/1940

Expiration Date

05/31/1984

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006