BENJAMIN G GONZAGA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041398395

License Status

INACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

GONZAGA

Business Name

BENJAMIN G GONZAGA

Original Issue Date

12/20/2011

Effective Date

12/20/2011

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012