CAROLYN C REVILLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090846

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

REVILLA

Business Name

CAROLYN C REVILLA

Original Issue Date

12/17/2004

Effective Date

12/17/2004

Expiration Date

01/31/2007

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007