MARY ANNE DOMIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148259

License Status

NOT RENEWED

Business

First Name

MARY ANNE

Last Name

DOMIN

Business Name

MARY ANNE DOMIN

Original Issue Date

04/16/1973

Effective Date

06/04/2012

Expiration Date

05/31/2014

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/09/2015