EDNA GUADALUPE AVITIA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043131412

License Status

ACTIVE

Business

First Name

EDNA

Middle

GUADALUPE

Last Name

AVITIA

Business Name

EDNA GUADALUPE AVITIA

Original Issue Date

01/13/2022

Effective Date

12/03/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/03/2024