IVY L KOEFOED Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041162651

License Status

INACTIVE

Business

First Name

IVY L

Last Name

KOEFOED

Business Name

IVY L KOEFOED

Original Issue Date

10/24/1975

Effective Date

05/04/2010

Expiration Date

05/31/2012

City

CANTRALL

State

Zip

62625

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2012