CARMEN T DATTILO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041233560

License Status

NOT RENEWED

Business

First Name

CARMEN T

Last Name

DATTILO

Business Name

CARMEN T DATTILO

Original Issue Date

11/05/1985

Effective Date

05/20/2010

Expiration Date

05/31/2012

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012