ANACLETA N REVILLA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154541

License Status

INACTIVE

Business

First Name

ANACLETA N

Last Name

REVILLA

Business Name

ANACLETA N REVILLA

Original Issue Date

04/24/1974

Effective Date

04/24/1974

Expiration Date

05/31/2002

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006