ALTA R BACON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041055306

License Status

INACTIVE

Business

First Name

ALTA R

Last Name

BACON

Business Name

ALTA R BACON

Original Issue Date

12/30/1946

Effective Date

12/30/1946

Expiration Date

05/31/1984

City

ROSEVILLE

State

Zip

61473

County

WARREN

Ever Disciplined

LastModifiedDate

09/27/2006