MYLENE LOURDES B PERALTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340051

License Status

NOT RENEWED

Business

First Name

MYLENE LOURDES

Middle

Last Name

PERALTA

Business Name

MYLENE LOURDES B PERALTA

Original Issue Date

05/24/2004

Effective Date

05/24/2004

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006