RUSTIA M FECUNDO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124662

License Status

INACTIVE

Business

First Name

RUSTIA M

Last Name

FECUNDO

Business Name

RUSTIA M FECUNDO

Original Issue Date

01/02/1968

Effective Date

03/16/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012