AMY L KOLM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210748

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

KOLM

Business Name

AMY L KOLM

Original Issue Date

08/03/1982

Effective Date

08/03/1982

Expiration Date

05/31/1992

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006