JUDITH A GORMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102205

License Status

INACTIVE

Business

First Name

JUDITH A

Last Name

GORMAN

Business Name

JUDITH A GORMAN

Original Issue Date

01/23/1962

Effective Date

01/23/1962

Expiration Date

05/31/2006

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006