KATHLEEN ROSE MODENE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144673

License Status

NOT RENEWED

Business

First Name

KATHLEEN ROSE

Last Name

MODENE

Business Name

KATHLEEN ROSE MODENE

Original Issue Date

09/28/1972

Effective Date

09/28/1972

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006