VITA SAN AGUSTIN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041197031

License Status

ACTIVE

Business

First Name

VITA

Last Name

SAN AGUSTIN

Business Name

VITA SAN AGUSTIN

Original Issue Date

11/17/1980

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/28/2026