MILDRED A LEACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041027030

License Status

NOT RENEWED

Business

First Name

MILDRED A

Last Name

LEACH

Business Name

MILDRED A LEACH

Original Issue Date

01/29/1934

Effective Date

01/29/1934

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006