KATHRYN G SAMPLE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041194320

License Status

INACTIVE

Business

First Name

KATHRYN G

Last Name

SAMPLE

Business Name

KATHRYN G SAMPLE

Original Issue Date

03/13/1980

Effective Date

03/13/1980

Expiration Date

05/31/1986

City

WILLIAMSVILLE

State

Zip

62693

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006