ELISIV IDESTROM - Registered Nurse License in Illinois | # 041159776

ELISIV IDESTROM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159776

License Status

NOT RENEWED

Business

N

First Name

ELISIV

Last Name

IDESTROM

Business Name

ELISIV IDESTROM

Original Issue Date

02/13/1975

Effective Date

02/13/1975

Expiration Date

05/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006