JADE MARK D DE ASIS - Registered Nurse License in Illinois | # 041375614

JADE MARK D DE ASIS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041375614

License Status

NOT RENEWED

Business

N

First Name

JADE MARK

Middle

D

Last Name

DE ASIS

Business Name

JADE MARK D DE ASIS

Original Issue Date

05/14/2009

Effective Date

06/01/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021