SUE ELLEN DEWALT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189650

License Status

INACTIVE

Business

First Name

SUE ELLEN

Last Name

DEWALT

Business Name

SUE ELLEN DEWALT

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1986

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/27/2006