GLENDA B LASTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041195414

License Status

NOT RENEWED

Business

First Name

GLENDA B

Last Name

LASTA

Business Name

GLENDA B LASTA

Original Issue Date

05/06/1980

Effective Date

03/29/2010

Expiration Date

05/31/2012

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012