MARTHA B DAGATA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146894

License Status

INACTIVE

Business

First Name

MARTHA B

Last Name

DAGATA

Business Name

MARTHA B DAGATA

Original Issue Date

12/13/1972

Effective Date

12/13/1972

Expiration Date

05/31/1984

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006