LAVON DIANNE WITHERS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041205121

License Status

NOT RENEWED

Business

First Name

LAVON DIANNE

Last Name

WITHERS

Business Name

LAVON DIANNE WITHERS

Original Issue Date

10/08/1981

Effective Date

05/09/2012

Expiration Date

05/31/2014

City

BROADVIEW

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014