AGNES F MARAVILLA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154011

License Status

INACTIVE

Business

First Name

AGNES F

Last Name

MARAVILLA

Business Name

AGNES F MARAVILLA

Original Issue Date

03/22/1974

Effective Date

03/22/1974

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006