LESLIE A NIELSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041227018

License Status

INACTIVE

Business

First Name

LESLIE A

Last Name

NIELSEN

Business Name

LESLIE A NIELSEN

Original Issue Date

10/29/1984

Effective Date

10/29/1984

Expiration Date

05/31/1986

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006