JEROME T CODILLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041281564

License Status

NOT RENEWED

Business

First Name

JEROME T

Last Name

CODILLA

Business Name

JEROME T CODILLA

Original Issue Date

06/15/1994

Effective Date

06/15/1994

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006