EDNA B DAVALOS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043060274

License Status

NOT RENEWED

Business

First Name

EDNA B

Last Name

DAVALOS

Business Name

EDNA B DAVALOS

Original Issue Date

01/25/1985

Effective Date

12/23/2004

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007