ANNA IVY MANALO PARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343860

License Status

NOT RENEWED

Business

First Name

ANNA IVY

Middle

MANALO

Last Name

PARK

Business Name

ANNA IVY MANALO PARK

Original Issue Date

11/30/2004

Effective Date

11/30/2004

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006