GUENIVERE A DOUGLAS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041093676

License Status

INACTIVE

Business

First Name

GUENIVERE A

Last Name

DOUGLAS

Business Name

GUENIVERE A DOUGLAS

Original Issue Date

06/26/1959

Effective Date

06/26/1959

Expiration Date

05/31/2002

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006