COLLEEN M LACIVITA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041247996

License Status

INACTIVE

Business

First Name

COLLEEN M

Last Name

LACIVITA

Business Name

COLLEEN M LACIVITA

Original Issue Date

07/20/1988

Effective Date

07/20/1988

Expiration Date

05/31/1996

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006