MARILOU P RENIGUNTALA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041187847

License Status

INACTIVE

Business

First Name

MARILOU P

Last Name

RENIGUNTALA

Business Name

MARILOU P RENIGUNTALA

Original Issue Date

05/07/1979

Effective Date

03/30/2016

Expiration Date

05/31/2018

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2018