MIRTA A CENTENO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039406

License Status

INACTIVE

Business

First Name

MIRTA A

Last Name

CENTENO

Business Name

MIRTA A CENTENO

Original Issue Date

06/11/1976

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005