ANGELINE M POULSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041251354

License Status

NOT RENEWED

Business

First Name

ANGELINE M

Last Name

POULSEN

Business Name

ANGELINE M POULSEN

Original Issue Date

02/07/1989

Effective Date

03/20/2014

Expiration Date

05/31/2016

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2016