DOMINIQUE MEDIDA ANSALDO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041429378

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

MEDIDA

Last Name

ANSALDO

Business Name

DOMINIQUE MEDIDA ANSALDO

Original Issue Date

04/22/2015

Effective Date

06/29/2022

Expiration Date

06/30/2024

City

FOREST PARK

State

Zip

60130

Ever Disciplined

LastModifiedDate

02/05/2025