TERRY A LANGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041110476

License Status

NOT RENEWED

Business

First Name

TERRY A

Last Name

LANGE

Business Name

TERRY A LANGE

Original Issue Date

08/04/1964

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

SOMONAUK

State

Zip

60552

County

DEKALB

Ever Disciplined

LastModifiedDate

08/16/2010