LAURIE AGNES WAHLSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179682

License Status

NOT RENEWED

Business

First Name

LAURIE AGNES

Last Name

WAHLSTROM

Business Name

LAURIE AGNES WAHLSTROM

Original Issue Date

03/08/1978

Effective Date

03/08/1978

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/27/2006