SHIRLEY R DOMENECH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041325280

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

DOMENECH

Business Name

SHIRLEY R DOMENECH

Original Issue Date

07/30/2001

Effective Date

07/30/2001

Expiration Date

05/31/2002

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006