CARMEN O DECOLONGON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111292

License Status

INACTIVE

Business

First Name

CARMEN O

Last Name

DECOLONGON

Business Name

CARMEN O DECOLONGON

Original Issue Date

10/26/1964

Effective Date

10/26/1964

Expiration Date

05/31/1996

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006