ANTHONY JASA MENDOZA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041372392

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

JASA

Last Name

MENDOZA

Business Name

ANTHONY JASA MENDOZA

Original Issue Date

10/10/2008

Effective Date

10/10/2008

Expiration Date

05/31/2010

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/16/2010