JANICE E SAMPLE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041079210

License Status

INACTIVE

Business

First Name

JANICE E

Last Name

SAMPLE

Business Name

JANICE E SAMPLE

Original Issue Date

12/06/1954

Effective Date

12/06/1954

Expiration Date

05/01/1982

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/27/2006