MARLON M DOMINGUEZ - Registered Nurse License in Illinois | # 043087091

MARLON M DOMINGUEZ

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087091

License Status

NOT RENEWED

Business

N

First Name

MARLON

Middle

M

Last Name

DOMINGUEZ

Business Name

MARLON M DOMINGUEZ

Original Issue Date

02/06/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005