DORIES S DE LARA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340293

License Status

NOT RENEWED

Business

First Name

DORIES

Middle

Last Name

DE LARA

Business Name

DORIES S DE LARA

Original Issue Date

06/15/2004

Effective Date

08/11/2022

Expiration Date

06/30/2024

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

02/05/2025