MYRTLE M LORINE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041095675

License Status

NOT RENEWED

Business

First Name

MYRTLE M

Last Name

LORINE

Business Name

MYRTLE M LORINE

Original Issue Date

12/18/1959

Effective Date

05/17/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012