CONSTANCE M SAMPLE - Registered Nurse License in Illinois | # 041222817

CONSTANCE M SAMPLE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041222817

License Status

NOT RENEWED

Business

N

First Name

CONSTANCE M

Last Name

SAMPLE

Business Name

CONSTANCE M SAMPLE

Original Issue Date

05/25/1984

Effective Date

05/25/1984

Expiration Date

05/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006