MIRIAM K MONTAVON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124764

License Status

INACTIVE

Business

First Name

MIRIAM

Middle

Last Name

MONTAVON

Business Name

MIRIAM K MONTAVON

Original Issue Date

01/15/1968

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012