CONNIE MAE SHORT DETERMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154662

License Status

INACTIVE

Business

First Name

CONNIE MAE SHORT

Last Name

DETERMAN

Business Name

CONNIE MAE SHORT DETERMAN

Original Issue Date

04/24/1974

Effective Date

04/24/1974

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006