MYSTERY DAHLSTROM - Registered Nurse License in Illinois | # 041122176

MYSTERY DAHLSTROM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122176

License Status

NOT RENEWED

Business

N

First Name

MYSTERY

Last Name

DAHLSTROM

Business Name

MYSTERY DAHLSTROM

Original Issue Date

08/21/1967

Effective Date

08/21/1967

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006