CHARLOTTE J LEACH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041073191

License Status

INACTIVE

Business

First Name

CHARLOTTE J

Last Name

LEACH

Business Name

CHARLOTTE J LEACH

Original Issue Date

11/20/1952

Effective Date

04/20/2010

Expiration Date

05/31/2012

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/08/2012