ALBASSI D TAVARES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041335013

License Status

NOT RENEWED

Business

First Name

ALBASSI

Middle

Last Name

TAVARES

Business Name

ALBASSI D TAVARES

Original Issue Date

04/30/2003

Effective Date

03/11/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012