VIVIAN L EDSTROM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041064247

License Status

INACTIVE

Business

First Name

VIVIAN L

Last Name

EDSTROM

Business Name

VIVIAN L EDSTROM

Original Issue Date

05/03/1949

Effective Date

05/03/1949

Expiration Date

05/31/1992

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006