JACQULYN A STORM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248187

License Status

NOT RENEWED

Business

First Name

JACQULYN A

Last Name

STORM

Business Name

JACQULYN A STORM

Original Issue Date

08/10/1988

Effective Date

08/10/1988

Expiration Date

05/31/1992

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006