EDITH AUGUSTAVE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130893

License Status

NOT RENEWED

Business

First Name

EDITH

Last Name

AUGUSTAVE

Business Name

EDITH AUGUSTAVE

Original Issue Date

05/15/1969

Effective Date

05/15/1969

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006