LORI L SUPOL - Registered Nurse License in Illinois | # 041222819

LORI L SUPOL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041222819

License Status

NOT RENEWED

Business

N

First Name

LORI L

Last Name

SUPOL

Business Name

LORI L SUPOL

Original Issue Date

05/25/1984

Effective Date

05/25/1984

Expiration Date

05/31/1994

State

IL

Ever Disciplined

Y

LastModifiedDate

09/27/2006

Case Number

1990007719

Action

Revocation

Discipline Start Date

01/10/1994

Discipline Reason

Violated the terms and conditions of a previously ordered probation.