JOHANNA C DEVRIES Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121389

License Status

INACTIVE

Business

First Name

JOHANNA C

Last Name

DEVRIES

Business Name

JOHANNA C DEVRIES

Original Issue Date

06/06/1967

Effective Date

06/06/1967

Expiration Date

05/31/1998

City

CHAMPAIGN

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006