ELY CASCO DIAWATAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041167682

License Status

NOT RENEWED

Business

First Name

ELY CASCO

Last Name

DIAWATAN

Business Name

ELY CASCO DIAWATAN

Original Issue Date

08/09/1976

Effective Date

05/27/2014

Expiration Date

05/31/2016

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/11/2016