DOMINGO Q BORNASAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041262260

License Status

NOT RENEWED

Business

First Name

DOMINGO Q

Last Name

BORNASAL

Business Name

DOMINGO Q BORNASAL

Original Issue Date

04/22/1991

Effective Date

03/15/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012