DENISE A DOMINIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041228071

License Status

NOT RENEWED

Business

First Name

DENISE A

Last Name

DOMINIK

Business Name

DENISE A DOMINIK

Original Issue Date

02/05/1985

Effective Date

02/05/1985

Expiration Date

05/31/1988

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006