ALTA M GUNAWAN - Registered Nurse License in Illinois | # 043108240

ALTA M GUNAWAN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108240

License Status

NOT RENEWED

Business

N

First Name

ALTA

Middle

M

Last Name

GUNAWAN

Business Name

ALTA M GUNAWAN

Original Issue Date

07/17/2009

Effective Date

01/11/2021

Expiration Date

01/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

03/31/2023