OPAL STOUT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041085436

License Status

INACTIVE

Business

First Name

OPAL

Last Name

STOUT

Business Name

OPAL STOUT

Original Issue Date

11/07/1956

Effective Date

11/07/1956

Expiration Date

05/31/2004

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006