MIRIAM B SCANTLEBURY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041110582

License Status

INACTIVE

Business

First Name

MIRIAM B

Last Name

SCANTLEBURY

Business Name

MIRIAM B SCANTLEBURY

Original Issue Date

08/28/1964

Effective Date

08/28/1964

Expiration Date

05/31/2006

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006