VIVIAN S WILLIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041059481

License Status

INACTIVE

Business

First Name

VIVIAN S

Last Name

WILLIS

Business Name

VIVIAN S WILLIS

Original Issue Date

01/22/1948

Effective Date

01/22/1948

Expiration Date

05/31/1988

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006