LIBERTAD M DOMETITA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134970

License Status

NOT RENEWED

Business

First Name

LIBERTAD M

Last Name

DOMETITA

Business Name

LIBERTAD M DOMETITA

Original Issue Date

04/09/1970

Effective Date

04/14/2010

Expiration Date

05/31/2012

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012