LYDIA DOMINGUEZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014673

License Status

INACTIVE

Business

First Name

LYDIA

Last Name

DOMINGUEZ

Business Name

LYDIA DOMINGUEZ

Original Issue Date

05/02/1966

Effective Date

12/17/2010

Expiration Date

01/31/2013

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

11/08/2012