GLORIA C LAKSAMANA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041143439

License Status

INACTIVE

Business

First Name

GLORIA C

Last Name

LAKSAMANA

Business Name

GLORIA C LAKSAMANA

Original Issue Date

04/11/1972

Effective Date

04/11/1972

Expiration Date

05/31/2006

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006