LUALHATI G UY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041184924

License Status

INACTIVE

Business

First Name

LUALHATI G

Last Name

Business Name

LUALHATI G UY

Original Issue Date

10/16/1978

Effective Date

08/03/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/30/2022