AVIS E STROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041084309

License Status

NOT RENEWED

Business

First Name

AVIS E

Last Name

STROM

Business Name

AVIS E STROM

Original Issue Date

05/07/1956

Effective Date

05/07/1956

Expiration Date

05/31/1990

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006