IDELL K LARSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041063957

License Status

INACTIVE

Business

First Name

IDELL K

Last Name

LARSON

Business Name

IDELL K LARSON

Original Issue Date

04/04/1949

Effective Date

04/04/1949

Expiration Date

05/31/1994

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006