PHILIP G ACQUAVIVA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041475994

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

Last Name

ACQUAVIVA

Business Name

PHILIP G ACQUAVIVA

Original Issue Date

02/27/2019

Effective Date

06/18/2022

Expiration Date

06/30/2024

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

02/05/2025