ELAINE ANN MODGLIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161639

License Status

NOT RENEWED

Business

First Name

ELAINE ANN

Last Name

MODGLIN

Business Name

ELAINE ANN MODGLIN

Original Issue Date

10/08/1975

Effective Date

10/08/1975

Expiration Date

05/31/1984

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

12/18/2006