THOMAS RANDY O SUALOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041329925

License Status

NOT RENEWED

Business

First Name

THOMAS RANDY

Middle

Last Name

SUALOG

Business Name

THOMAS RANDY O SUALOG

Original Issue Date

05/10/2002

Effective Date

05/10/2002

Expiration Date

05/31/2008

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008