MICHAELEEN L LACIVITA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108828

License Status

NOT RENEWED

Business

First Name

MICHAELEEN L

Last Name

LACIVITA

Business Name

MICHAELEEN L LACIVITA

Original Issue Date

12/19/1963

Effective Date

06/15/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022