JERRY LAMA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189851

License Status

INACTIVE

Business

First Name

JERRY

Last Name

LAMA

Business Name

JERRY LAMA

Original Issue Date

10/17/1979

Effective Date

04/01/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012