MARLON M DOMINGUEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087091

License Status

NOT RENEWED

Business

First Name

MARLON

Middle

Last Name

DOMINGUEZ

Business Name

MARLON M DOMINGUEZ

Original Issue Date

02/06/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/15/2005