DONNA D TABAKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046517

License Status

NOT RENEWED

Business

First Name

DONNA D

Last Name

TABAKA

Business Name

DONNA D TABAKA

Original Issue Date

01/26/1979

Expiration Date

01/31/1991

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005