JACQUELYN C REVILLA - Registered Nurse License in Illinois | # 043110315

JACQUELYN C REVILLA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110315

License Status

NOT RENEWED

Business

N

First Name

JACQUELYN

Middle

C

Last Name

REVILLA

Business Name

JACQUELYN C REVILLA

Original Issue Date

05/07/2010

Effective Date

12/16/2016

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019