MINERVA C SAN AGUSTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070968

License Status

NOT RENEWED

Business

First Name

MINERVA C

Middle

SAN

Last Name

AGUSTIN

Business Name

MINERVA C SAN AGUSTIN

Original Issue Date

01/16/1992

Expiration Date

01/31/1997

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005