THEODORE EZRA GONZALES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105374

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

EZRA

Last Name

GONZALES

Business Name

THEODORE EZRA GONZALES

Original Issue Date

02/29/2008

Effective Date

01/28/2021

Expiration Date

01/31/2023

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023