MELANIE LAVENDER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176709

License Status

NOT RENEWED

Business

First Name

MELANIE

Last Name

LAVENDER

Business Name

MELANIE LAVENDER

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006