E LAVONNE WISELY - Registered Nurse License in Illinois | # 041098122

E LAVONNE WISELY

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041098122

License Status

INACTIVE

Business

N

First Name

E LAVONNE

Last Name

WISELY

Business Name

E LAVONNE WISELY

Original Issue Date

11/29/1960

Effective Date

11/29/1960

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006