BERNICE A HAVERHALS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108865

License Status

INACTIVE

Business

First Name

BERNICE A

Last Name

HAVERHALS

Business Name

BERNICE A HAVERHALS

Original Issue Date

12/19/1963

Effective Date

12/19/1963

Expiration Date

05/31/2008

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

03/11/2008