MANUEL G TAVARES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043067533

License Status

NOT RENEWED

Business

First Name

MANUEL G

Last Name

TAVARES

Business Name

MANUEL G TAVARES

Original Issue Date

01/03/1990

Effective Date

11/10/2004

Expiration Date

01/31/2007

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

03/16/2007