ELY CASCO DIAWATAN - Registered Nurse License in Illinois | # 041167682

ELY CASCO DIAWATAN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041167682

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016