DENNIS SURLETA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153315

License Status

INACTIVE

Business

First Name

DENNIS

Last Name

SURLETA

Business Name

DENNIS SURLETA

Original Issue Date

01/21/1974

Effective Date

03/22/2016

Expiration Date

05/31/2018

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/06/2018