MANUEL C PERALTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300062

License Status

NOT RENEWED

Business

First Name

MANUEL C

Last Name

PERALTA

Business Name

MANUEL C PERALTA

Original Issue Date

09/19/1996

Effective Date

04/23/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014