DOROTHY L ILLIAN - Registered Nurse License in Idaho | # 041076370

DOROTHY L ILLIAN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076370

License Status

INACTIVE

Business

N

First Name

DOROTHY L

Last Name

ILLIAN

Business Name

DOROTHY L ILLIAN

Original Issue Date

11/18/1953

Effective Date

11/18/1953

Expiration Date

05/31/1988

State

ID

Ever Disciplined

N

LastModifiedDate

09/27/2006