TIMOTHY RAYMOND COFFMAN - Registered Nurse License in Illinois | # 043041301

TIMOTHY RAYMOND COFFMAN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041301

License Status

INACTIVE

Business

N

First Name

TIMOTHY RAYMOND

Last Name

COFFMAN

Business Name

TIMOTHY RAYMOND COFFMAN

Original Issue Date

02/02/1977

Effective Date

01/21/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005