STARLIGHT B REQUINA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339640

License Status

NOT RENEWED

Business

First Name

STARLIGHT

Middle

Last Name

REQUINA

Business Name

STARLIGHT B REQUINA

Original Issue Date

03/25/2004

Effective Date

03/29/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012