TIAGO Z FONSECA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043120912

License Status

NOT RENEWED

Business

First Name

TIAGO

Middle

Last Name

FONSECA

Business Name

TIAGO Z FONSECA

Original Issue Date

07/02/2015

Effective Date

07/02/2015

Expiration Date

01/31/2017

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017