SANDRA L LEUTY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041142669

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

LEUTY

Business Name

SANDRA L LEUTY

Original Issue Date

12/01/1971

Effective Date

12/01/1971

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006