JAMIE M STORM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248981

License Status

INACTIVE

Business

First Name

JAMIE M

Last Name

STORM

Business Name

JAMIE M STORM

Original Issue Date

09/27/1988

Effective Date

03/18/2010

Expiration Date

05/31/2012

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/08/2012