CHARLES E LATTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041227648

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

LATTA

Business Name

CHARLES E LATTA

Original Issue Date

12/07/1984

Effective Date

12/07/1984

Expiration Date

05/31/1996

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006