LESLIE A COUSIN Registered Nurse License verification

LESLIE A COUSIN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248574

License Status

NOT RENEWED

Business

First Name

LESLIE A

Last Name

COUSIN

Business Name

LESLIE A COUSIN

Original Issue Date

10/18/1989

Effective Date

10/18/1989

Expiration Date

05/31/2008

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/07/2007

Case Number

1999000679

Action

Probation

Discipline Start Date

01/13/2003

Discipline End Date

01/12/2006

Discipline Reason

Phoned in and picked up prescriptions for controlled substances for self-use without physician authorization while employed at Crusader Clinic in Rockford.