BEULAH MARIE LANE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041141321

License Status

INACTIVE

Business

First Name

BEULAH MARIE

Last Name

LANE

Business Name

BEULAH MARIE LANE

Original Issue Date

09/29/1971

Effective Date

09/29/1971

Expiration Date

05/31/2000

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

09/27/2006