DAVIENE ANDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037043

License Status

NOT RENEWED

Business

First Name

DAVIENE

Last Name

ANDERSON

Business Name

DAVIENE ANDERSON

Original Issue Date

06/10/1975

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005