LUCIE ETTA GORMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120334

License Status

NOT RENEWED

Business

First Name

LUCIE ETTA

Last Name

GORMAN

Business Name

LUCIE ETTA GORMAN

Original Issue Date

01/18/1967

Effective Date

04/20/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018