TINA M CARMONA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339916

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

CARMONA

Business Name

TINA M CARMONA

Original Issue Date

05/20/2004

Effective Date

05/20/2004

Expiration Date

05/31/2006

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006