BLENDA L ONTIVEROS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150159

License Status

INACTIVE

Business

First Name

BLENDA L

Last Name

ONTIVEROS

Business Name

BLENDA L ONTIVEROS

Original Issue Date

10/03/1973

Effective Date

10/03/1973

Expiration Date

05/31/1986

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/27/2006