ANTONIO DIAZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117529

License Status

NOT RENEWED

Business

First Name

ANTONIO

Last Name

DIAZ

Business Name

ANTONIO DIAZ

Original Issue Date

05/20/1966

Effective Date

05/20/1966

Expiration Date

05/31/1988

City

COUNTRY CLUB HILLS

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006