LOUISE M MODIR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112623

License Status

NOT RENEWED

Business

First Name

LOUISE M

Last Name

MODIR

Business Name

LOUISE M MODIR

Original Issue Date

12/21/1964

Effective Date

12/21/1964

Expiration Date

05/31/2008

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2008