MARILYN WORMHOUDT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041133650

License Status

INACTIVE

Business

First Name

MARILYN

Last Name

WORMHOUDT

Business Name

MARILYN WORMHOUDT

Original Issue Date

11/20/1969

Effective Date

11/20/1969

Expiration Date

05/01/1982

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006