ELAINE F BOUTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041106414

License Status

INACTIVE

Business

First Name

ELAINE F

Last Name

BOUTIN

Business Name

ELAINE F BOUTIN

Original Issue Date

05/06/1963

Effective Date

05/06/1963

Expiration Date

05/31/2008

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/11/2008