LELAND A KISROW JR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041163007

License Status

INACTIVE

Business

First Name

LELAND A

Last Name

KISROW JR

Business Name

LELAND A KISROW JR

Original Issue Date

10/24/1975

Effective Date

05/13/2016

Expiration Date

05/31/2018

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

03/06/2018