OTTO J SIMON - Registered Nurse License in Illinois | # 041101616

OTTO J SIMON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041101616

License Status

NOT RENEWED

Business

N

First Name

OTTO J

Last Name

SIMON

Business Name

OTTO J SIMON

Original Issue Date

12/27/1961

Effective Date

12/27/1961

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006