RANDY PAUL TAKALA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041486373

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

PAUL

Last Name

TAKALA

Business Name

RANDY PAUL TAKALA

Original Issue Date

10/08/2019

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2022