MARCELLUS LOUIE S TIA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041375522

License Status

INACTIVE

Business

First Name

MARCELLUS LOUIE

Middle

Last Name

TIA

Business Name

MARCELLUS LOUIE S TIA

Original Issue Date

05/06/2009

Effective Date

05/06/2009

Expiration Date

05/31/2010

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/05/2010