KATHLEEN ELIZABE COUNTRYMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150753

License Status

INACTIVE

Business

First Name

KATHLEEN ELIZABE

Last Name

COUNTRYMAN

Business Name

KATHLEEN ELIZABE COUNTRYMAN

Original Issue Date

10/03/1973

Effective Date

05/04/2010

Expiration Date

05/31/2012

City

DAVIS JCT

State

Zip

61020

County

OGLE

Ever Disciplined

LastModifiedDate

03/08/2012