EMMANUEL C TALAVERA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089961

License Status

NOT RENEWED

Business

First Name

EMMANUEL

Middle

Last Name

TALAVERA

Business Name

EMMANUEL C TALAVERA

Original Issue Date

07/15/2004

Effective Date

01/14/2005

Expiration Date

01/31/2007

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/16/2007