MADZRA G AMILBANGSA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041378493

License Status

NOT RENEWED

Business

First Name

MADZRA

Middle

Last Name

AMILBANGSA

Business Name

MADZRA G AMILBANGSA

Original Issue Date

08/10/2009

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012