WENDY D AMBROSE GAVIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052676

License Status

NOT RENEWED

Business

First Name

WENDY

Middle

Last Name

AMBROSE GAVIN

Business Name

WENDY D AMBROSE GAVIN

Original Issue Date

01/13/1982

Expiration Date

01/31/1991

City

ORLAND PARK

State

Zip

60462

Ever Disciplined

LastModifiedDate

10/21/2005