CAROLINA B FENOMENO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041187669

License Status

NOT RENEWED

Business

First Name

CAROLINA B

Last Name

FENOMENO

Business Name

CAROLINA B FENOMENO

Original Issue Date

05/07/1979

Effective Date

05/07/1979

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006