CHARITO P LACSAMANA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189467

License Status

NOT RENEWED

Business

First Name

CHARITO P

Last Name

LACSAMANA

Business Name

CHARITO P LACSAMANA

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1998

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006