ELAINE J STAVENESS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041101186

License Status

INACTIVE

Business

First Name

ELAINE J

Last Name

STAVENESS

Business Name

ELAINE J STAVENESS

Original Issue Date

11/10/1961

Effective Date

11/10/1961

Expiration Date

05/31/1998

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006