GUADALUPE DOMINGUEZ - Registered Nurse License in Illinois | # 043012139

GUADALUPE DOMINGUEZ

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012139

License Status

NOT RENEWED

Business

N

First Name

GUADALUPE

Last Name

DOMINGUEZ

Business Name

GUADALUPE DOMINGUEZ

Original Issue Date

04/21/1964

Effective Date

11/13/2012

Expiration Date

01/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

03/09/2015