LOVELLA LAGAMON PROVIDO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041380565

License Status

NOT RENEWED

Business

First Name

LOVELLA

Middle

LAGAMON

Last Name

PROVIDO

Business Name

LOVELLA LAGAMON PROVIDO

Original Issue Date

10/27/2009

Effective Date

05/17/2022

Expiration Date

06/30/2024

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

02/05/2025