MODESTA DOMINGEZ MELENDEZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034275

License Status

INACTIVE

Business

First Name

MODESTA DOMINGEZ

Last Name

MELENDEZ

Business Name

MODESTA DOMINGEZ MELENDEZ

Original Issue Date

02/22/1974

Expiration Date

01/31/1999

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

05/27/2005