KATHLEEN A ERVIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041073167

License Status

INACTIVE

Business

First Name

KATHLEEN A

Last Name

ERVIN

Business Name

KATHLEEN A ERVIN

Original Issue Date

11/20/1952

Effective Date

11/20/1952

Expiration Date

05/31/2006

City

ILLIOPOLIS

State

Zip

62539

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006