GRACE ARLENE KIDD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041173062

License Status

INACTIVE

Business

First Name

GRACE

Middle

ARLENE

Last Name

KIDD

Business Name

GRACE ARLENE KIDD

Original Issue Date

04/07/1977

Effective Date

06/02/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2012