GERALD D DE GUZMAN - Registered Nurse License in Illinois | # 043090676

GERALD D DE GUZMAN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090676

License Status

NOT RENEWED

Business

N

First Name

GERALD

Middle

D

Last Name

DE GUZMAN

Business Name

GERALD D DE GUZMAN

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007