RUSTICA S GAPUZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153644

License Status

INACTIVE

Business

First Name

RUSTICA S

Last Name

GAPUZ

Business Name

RUSTICA S GAPUZ

Original Issue Date

02/22/1974

Effective Date

04/29/2010

Expiration Date

05/31/2012

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/08/2012