LEONARD LEE MAZE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041156341

License Status

INACTIVE

Business

First Name

LEONARD LEE

Last Name

MAZE

Business Name

LEONARD LEE MAZE

Original Issue Date

09/11/1974

Effective Date

09/11/1974

Expiration Date

05/31/1998

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006