DALE A WITHEM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041223786

License Status

NOT RENEWED

Business

First Name

DALE A

Last Name

WITHEM

Business Name

DALE A WITHEM

Original Issue Date

09/28/1984

Effective Date

04/05/2010

Expiration Date

05/31/2012

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012