SR DOROTHY LYNET CROUCH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107442

License Status

INACTIVE

Business

First Name

SR DOROTHY LYNET

Last Name

CROUCH

Business Name

SR DOROTHY LYNET CROUCH

Original Issue Date

11/13/1963

Effective Date

11/13/1963

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006