KATHY ANN WANLESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199567

License Status

NOT RENEWED

Business

First Name

KATHY ANN

Last Name

WANLESS

Business Name

KATHY ANN WANLESS

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1992

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006