BLOSSOM LUTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041040960

License Status

INACTIVE

Business

First Name

BLOSSOM

Last Name

LUTZ

Business Name

BLOSSOM LUTZ

Original Issue Date

02/24/1941

Effective Date

02/24/1941

Expiration Date

05/31/1986

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006