SARINA A TILLIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154129

License Status

INACTIVE

Business

First Name

SARINA A

Last Name

TILLIS

Business Name

SARINA A TILLIS

Original Issue Date

03/22/1974

Effective Date

03/22/1974

Expiration Date

05/31/1996

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006