CHARLES DAVID DEBOTTIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041294597

License Status

NOT RENEWED

Business

First Name

CHARLES DAVID

Last Name

DEBOTTIS

Business Name

CHARLES DAVID DEBOTTIS

Original Issue Date

01/04/1996

Effective Date

01/04/1996

Expiration Date

05/31/2006

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006