JACQUELYN A LARSON - Registered Nurse License in Illinois | # 041107596

JACQUELYN A LARSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107596

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014