JACQUELYN A LARSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107596

License Status

NOT RENEWED

Business

First Name

JACQUELYN A

Last Name

LARSON

Business Name

JACQUELYN A LARSON

Original Issue Date

11/13/1963

Effective Date

04/04/2012

Expiration Date

05/31/2014

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014