D ELAINE LARSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041054738

License Status

INACTIVE

Business

First Name

D ELAINE

Last Name

LARSON

Business Name

D ELAINE LARSON

Original Issue Date

01/01/1997

Expiration Date

05/31/2002

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006