LAURA ELLEN PROFROCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105990

License Status

INACTIVE

Business

First Name

LAURA

Middle

ELLEN

Last Name

PROFROCK

Business Name

LAURA ELLEN PROFROCK

Original Issue Date

04/01/1963

Effective Date

04/01/1963

Expiration Date

05/31/2008

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/11/2008