SANDRA S LATHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109968

License Status

NOT RENEWED

Business

First Name

SANDRA S

Last Name

LATHAM

Business Name

SANDRA S LATHAM

Original Issue Date

05/11/1964

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

01/14/2021