VIVIAN JEAN IDA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041190935

License Status

NOT RENEWED

Business

First Name

VIVIAN JEAN

Last Name

IDA

Business Name

VIVIAN JEAN IDA

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1986

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006