RAQUEL P TAGALOG - Registered Nurse License in Illinois | # 041343351

RAQUEL P TAGALOG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343351

License Status

NOT RENEWED

Business

N

First Name

RAQUEL

Middle

P

Last Name

TAGALOG

Business Name

RAQUEL P TAGALOG

Original Issue Date

10/21/2004

Effective Date

10/21/2004

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006