TIVOLI L DAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080172

License Status

NOT RENEWED

Business

First Name

TIVOLI L

Last Name

DAVIS

Business Name

TIVOLI L DAVIS

Original Issue Date

11/12/1996

Effective Date

01/26/2005

Expiration Date

01/31/2007

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007