TATIYANA A KENGOVSKAYA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337484

License Status

NOT RENEWED

Business

First Name

TATIYANA

Middle

Last Name

KENGOVSKAYA

Business Name

TATIYANA A KENGOVSKAYA

Original Issue Date

09/18/2003

Effective Date

09/18/2003

Expiration Date

05/31/2006

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006