LAVADA KEITH - Registered Nurse License in Illinois | # 043029219

LAVADA KEITH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029219

License Status

NOT RENEWED

Business

N

First Name

LAVADA

Last Name

KEITH

Business Name

LAVADA KEITH

Original Issue Date

11/01/1971

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005