KRISTINE P BACLAGON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041318146

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

Last Name

BACLAGON

Business Name

KRISTINE P BACLAGON

Original Issue Date

01/25/2000

Effective Date

01/25/2000

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006