BENEDICTO L SIWA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084632

License Status

NOT RENEWED

Business

First Name

BENEDICTO

Middle

Last Name

SIWA

Business Name

BENEDICTO L SIWA

Original Issue Date

02/07/2000

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

OAK LAWN

State

Zip

60453

Ever Disciplined

LastModifiedDate

10/15/2005