GRACE DYAN CARVAJAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041406446

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

DYAN

Last Name

CARVAJAL

Business Name

GRACE DYAN CARVAJAL

Original Issue Date

10/05/2012

Effective Date

10/05/2012

Expiration Date

05/31/2014

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/03/2014