SR GRACE HAGEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104146

License Status

INACTIVE

Business

First Name

SR GRACE

Last Name

HAGEN

Business Name

SR GRACE HAGEN

Original Issue Date

01/01/1997

Expiration Date

05/01/1982

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006