JOHN GLENN STA ANA ILOG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041436761

License Status

INACTIVE

Business

First Name

JOHN GLENN

Middle

STA ANA

Last Name

ILOG

Business Name

JOHN GLENN STA ANA ILOG

Original Issue Date

11/24/2015

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

WILKES BARRE

State

Zip

18705

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/08/2020