ALCY YTIENZA DOMINGO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041178811

License Status

NOT RENEWED

Business

First Name

ALCY YTIENZA

Last Name

DOMINGO

Business Name

ALCY YTIENZA DOMINGO

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/1992

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006