LUCILLE I ILLERA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041367820

License Status

NOT RENEWED

Business

First Name

LUCILLE

Middle

Last Name

ILLERA

Business Name

LUCILLE I ILLERA

Original Issue Date

05/19/2008

Effective Date

04/12/2010

Expiration Date

05/31/2012

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/10/2012