TIMOTHY HABASHY ATALLA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085696

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

HABASHY

Last Name

ATALLA

Business Name

TIMOTHY HABASHY ATALLA

Original Issue Date

12/04/2000

Effective Date

01/24/2005

Expiration Date

01/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/15/2005