SR GENEVA LUTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041118909

License Status

INACTIVE

Business

First Name

SR GENEVA

Last Name

LUTZ

Business Name

SR GENEVA LUTZ

Original Issue Date

10/06/1966

Effective Date

10/06/1966

Expiration Date

05/01/1982

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006