LOLA MAE DODGE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112797

License Status

INACTIVE

Business

First Name

LOLA MAE

Last Name

DODGE

Business Name

LOLA MAE DODGE

Original Issue Date

01/05/1965

Effective Date

01/05/1965

Expiration Date

05/31/2002

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006