ELIZABETH ANN DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159331

License Status

NOT RENEWED

Business

First Name

ELIZABETH ANN

Last Name

DOUGLAS

Business Name

ELIZABETH ANN DOUGLAS

Original Issue Date

12/12/1974

Effective Date

03/24/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012