ALEATHA J LUALLEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041106123

License Status

INACTIVE

Business

First Name

ALEATHA J

Last Name

LUALLEN

Business Name

ALEATHA J LUALLEN

Original Issue Date

04/01/1963

Effective Date

04/01/1963

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006