TIFFANY CARLA LICUANAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041333716

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

CARLA

Last Name

LICUANAN

Business Name

TIFFANY CARLA LICUANAN

Original Issue Date

01/06/2003

Effective Date

01/06/2003

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006