BETTY M LUNDVALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076060

License Status

NOT RENEWED

Business

First Name

BETTY M

Last Name

LUNDVALL

Business Name

BETTY M LUNDVALL

Original Issue Date

11/12/1953

Effective Date

06/05/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2014