ANNA T LEAF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179534

License Status

INACTIVE

Business

First Name

ANNA T

Last Name

LEAF

Business Name

ANNA T LEAF

Original Issue Date

03/08/1978

Effective Date

03/08/1978

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006