LANA JO STAELENS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131892

License Status

NOT RENEWED

Business

First Name

LANA JO

Last Name

STAELENS

Business Name

LANA JO STAELENS

Original Issue Date

01/01/1997

Effective Date

05/13/2010

Expiration Date

05/31/2012

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/10/2012