TERRYL CHRISTIAN LAFOLLETTE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041133608

License Status

NOT RENEWED

Business

First Name

TERRYL CHRISTIAN

Last Name

LAFOLLETTE

Business Name

TERRYL CHRISTIAN LAFOLLETTE

Original Issue Date

11/17/1969

Effective Date

11/17/1969

Expiration Date

05/31/1986

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006