MATVEY B RUSTAMOV Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085247

License Status

NOT RENEWED

Business

First Name

MATVEY

Middle

Last Name

RUSTAMOV

Business Name

MATVEY B RUSTAMOV

Original Issue Date

09/07/2000

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/15/2005