JACQUELINE H DOMINGUEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101805

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

DOMINGUEZ

Business Name

JACQUELINE H DOMINGUEZ

Original Issue Date

07/20/2006

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2009