BOMINA CHA OTTO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115224

License Status

NOT RENEWED

Business

First Name

BOMINA

Middle

CHA

Last Name

OTTO

Business Name

BOMINA CHA OTTO

Original Issue Date

08/13/2012

Effective Date

01/02/2013

Expiration Date

01/31/2015

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

03/09/2015