KAY EATON GAVIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103005

License Status

NOT RENEWED

Business

First Name

KAY EATON

Last Name

GAVIN

Business Name

KAY EATON GAVIN

Original Issue Date

05/02/1962

Effective Date

05/02/1962

Expiration Date

05/31/1998

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006