IDA SIMS WINE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203184

License Status

INACTIVE

Business

First Name

IDA SIMS

Last Name

WINE

Business Name

IDA SIMS WINE

Original Issue Date

06/05/1981

Effective Date

06/05/1981

Expiration Date

05/31/1984

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/27/2006