LESLIE GROENEWOLD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180163

License Status

NOT RENEWED

Business

First Name

LESLIE

Last Name

GROENEWOLD

Business Name

LESLIE GROENEWOLD

Original Issue Date

05/08/1978

Effective Date

05/08/1978

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/27/2006