MYRA A LAVINE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062510

License Status

NOT RENEWED

Business

First Name

MYRA A

Last Name

LAVINE

Business Name

MYRA A LAVINE

Original Issue Date

01/16/1986

Expiration Date

01/31/1989

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005