KATHY ANNE BEVERAGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213182

License Status

NOT RENEWED

Business

First Name

KATHY ANNE

Last Name

BEVERAGE

Business Name

KATHY ANNE BEVERAGE

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/1990

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/27/2006