DAWN T DOMINGUEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090924

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

DOMINGUEZ

Business Name

DAWN T DOMINGUEZ

Original Issue Date

01/06/2005

Effective Date

01/16/2009

Expiration Date

01/31/2011

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

03/10/2011