T LAVERNE CONNALLY - Registered Nurse License in Illinois | # 043020063

T LAVERNE CONNALLY

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020063

License Status

NOT RENEWED

Business

N

First Name

T LAVERNE

Last Name

CONNALLY

Business Name

T LAVERNE CONNALLY

Original Issue Date

06/28/1967

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005