LESLIE L THOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117978

License Status

NOT RENEWED

Business

First Name

LESLIE L

Last Name

THOM

Business Name

LESLIE L THOM

Original Issue Date

08/03/1966

Effective Date

08/03/1966

Expiration Date

05/31/2006

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006