LAVADA KEITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029219

License Status

NOT RENEWED

Business

First Name

LAVADA

Last Name

KEITH

Business Name

LAVADA KEITH

Original Issue Date

11/01/1971

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005