LEONIDA S AGUSTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343298

License Status

NOT RENEWED

Business

First Name

LEONIDA

Middle

Last Name

AGUSTIN

Business Name

LEONIDA S AGUSTIN

Original Issue Date

10/18/2004

Effective Date

05/28/2014

Expiration Date

05/31/2016

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016