LANNY DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041249427

License Status

NOT RENEWED

Business

First Name

LANNY

Last Name

DOUGLAS

Business Name

LANNY DOUGLAS

Original Issue Date

09/27/1988

Effective Date

09/27/1988

Expiration Date

05/31/1996

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006