DAVID A TABAKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041234679

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

TABAKA

Business Name

DAVID A TABAKA

Original Issue Date

01/14/1986

Effective Date

01/14/1986

Expiration Date

05/31/1992

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006