HAZEL DHATES DOMINGO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041410035

License Status

NOT RENEWED

Business

First Name

HAZEL

Middle

DHATES

Last Name

DOMINGO

Business Name

HAZEL DHATES DOMINGO

Original Issue Date

04/12/2013

Effective Date

03/27/2020

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021