ANTHONY E DOMAGAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041446486

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

DOMAGAL

Business Name

ANTHONY E DOMAGAL

Original Issue Date

09/21/2016

Effective Date

09/21/2016

Expiration Date

05/31/2018

City

CHICAGO HEIGHTS

State

Zip

60411

Ever Disciplined

LastModifiedDate

07/19/2018