GEORGIA LEE BAGLEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109153

License Status

INACTIVE

Business

First Name

GEORGIA LEE

Last Name

BAGLEY

Business Name

GEORGIA LEE BAGLEY

Original Issue Date

01/22/1964

Effective Date

01/22/1964

Expiration Date

05/31/1994

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006