COLLEEN J AUGUSTINE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041133592

License Status

INACTIVE

Business

First Name

COLLEEN J

Last Name

AUGUSTINE

Business Name

COLLEEN J AUGUSTINE

Original Issue Date

11/14/1969

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2012