JACQUELYN C REVILLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110315

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

Last Name

REVILLA

Business Name

JACQUELYN C REVILLA

Original Issue Date

05/07/2010

Effective Date

12/16/2016

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019