MODESTO J ARDISANA DC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041075053

License Status

NOT RENEWED

Business

First Name

MODESTO J

Last Name

ARDISANA

Suffix

Business Name

MODESTO J ARDISANA DC

Original Issue Date

05/06/1953

Effective Date

05/06/1953

Expiration Date

05/31/1988

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

10/05/2007