REX ANTHONY W DEMAVIVAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089963

License Status

NOT RENEWED

Business

First Name

REX ANTHONY

Middle

Last Name

DEMAVIVAS

Business Name

REX ANTHONY W DEMAVIVAS

Original Issue Date

07/16/2004

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005