MILDRED M RENVILLE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041106225

License Status

INACTIVE

Business

First Name

MILDRED M

Last Name

RENVILLE

Business Name

MILDRED M RENVILLE

Original Issue Date

04/01/1963

Effective Date

04/01/1963

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006