JUDITH ANN ICENOGLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117924

License Status

NOT RENEWED

Business

First Name

JUDITH ANN

Last Name

ICENOGLE

Business Name

JUDITH ANN ICENOGLE

Original Issue Date

08/03/1966

Effective Date

04/22/2014

Expiration Date

05/31/2016

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/11/2016